Christa Devaughn Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4763C Issued in AL

Practice address

3220 5TH Ave S Ste 100
Birmingham, AL 35222-2309

Phone

(205) 877-8677

Fax

(205) 877-8675

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christa Devaughn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• C. Devaughn Brown Counseling and Consulting, LLC

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1649099482
  NPD Authorized official
• Birmingham AIDS Outreach

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1336507953
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1003482639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 77TH WAY S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352064905",
            "telephone_number": "205-305-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 5TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222309",
            "telephone_number": "205-877-8677",
            "fax_number": "205-877-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTA",
        "middle_name": "DEVAUGHN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4763C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "DEVAUGHN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Malone Brown, OD
• Cassandra R Brown, LMSW, LICSW, PIP
• Catherine G Brown, CRNP
• Channing Garber Brown, MD
• Charles K Brown, O.D.
• Christa Rebecca Brown, RBT
• Christina Jean Brown, CRNA
• Christine Roush Brown, PA-C
• Cynthia Brooke Brown
• Cynthia Harlin Brown, MD

• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.