Individual provider Active NPI

Patricia Brown, LISW/LICDC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1003081720
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0007360 Issued in OH
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

Updated by the provider on May 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403001947 OH Practitioner - Clinical Social Worker 8527412634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
954246OHMDAddiction (Substance Use Disorder) Counselor
I0007360OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati CurrentSince May 11, 2025 Accepting new patients
The Crossroads Center CurrentSince Jan 28, 2024 Accepting new patients
Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati Addiction (Substance Use Disorder) CurrentSince May 11, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/15558/brand/3/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/cincyumadaop/r4/
  • FHIR API: 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.

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

Verify at the official NPI Registry.