Zachary Brown, LMSW

Individual provider Active NPI Clinical Social Worker · Mansfield Center, CT

NPI 1003532193 · NPPES record last updated Oct 19, 2022

Key facts

NPI
1003532193
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6467 (CT)
Practice address
140 N Frontage Rd
Mansfield Center, CT 06250-1648
Phone
(860) 456-2261
NPI assigned
Oct 19, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6467CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Services Inc Current
since Oct 23, 2022
Accepting new patients

Locations

140 N Frontage Rd
Mansfield Ctr, CT 06250
Phone (860) 456-2261

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6467 CT Yes

Addresses

Primary practice location

140 N Frontage Rd
Mansfield Center, CT 06250-1648

Mailing address

1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020

Other providers in Mansfield Center, CT

All providers in Mansfield Center, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.