Brewington, Shiresse Morgan

Brewington, Shiresse Morgan is an individual health care provider with primary practice located at 9672 Pennsylvania Ave , Upper Marlboro MD 20772-3670. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brewington, Shiresse Morgan can be contacted via phone (301) 806-3615.

Contact Information

Primary practice address
9672 Pennsylvania Ave Upper Marlboro MD 20772-3670
Fax: (301) 574-5249
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13368 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50078288 District of Columbia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006341 Virginia

Profile Details

NPI number 1841482882
LBN Legal business name Brewington, Shiresse Morgan
Credentials MSW, LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Jul 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841482882 NPPES
Maryland MEDICAID 0151211 00

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