Active NPI
Patricia Brown, LISW/LICDC
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1003081720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0007360
- Practice address
- 311 Martin Luther King Dr E
Cincinnati, OH 45219-2581 - Phone
- (513) 475-5300
- Fax
- (513) 281-2571
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0007360 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 954246 | OH |
Addresses
Primary practice location
311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Mailing address
1845 Greenbriar PL
Cincinnati, OH 45237-3521
Phone (216) 406-0066
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TheCrossroadsCenter.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954246 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I0007360 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati | Current | Accepting new patients | |
| The Crossroads Center | Current | Accepting new patients | |
| Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
311 Martin Luther King Dr E
Cincinnati, OH 45219
Phone (513) 475-5300
2230 Park Ave
Cincinnati, OH 45206
Phone (513) 541-7099
Interoperability endpoints
- https://api.platform.athenahealth.com/15558/brand/3/csg/1/fhir/r4
- https://api.qualifacts.org/api/fhir/cincyumadaop/r4/
- https://api.qualifacts.org/api/fhir/thecrossroadscenter/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1265496590
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1043419237
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1821877564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1003081720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 GREENBRIAR PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452373521",
"telephone_number": "216-406-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MARTIN LUTHER KING DR E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192581",
"telephone_number": "513-475-5300",
"fax_number": "513-281-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "LISW/LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0007360",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "954246",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TheCrossroadsCenter.org",
"affiliation": "N",
"address_1": "311 Martin Luther King Dr E",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452192581",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.