Active NPI
Janet M. Brown, LCSW
- Clinical Social Worker
- Erie, CO
National Provider Identifier
1003864356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35546
- Practice address
- 361 Simmons St
Erie, CO 80516-7201 - Phone
- (817) 996-5664
- Fax
- (817) 927-7578
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09929170 | CO | |
| Clinical Social Worker | 1041C0700X | TPSW912 | FL | |
| Clinical Social Worker | 1041C0700X | 35546 | TX | Primary |
Addresses
Primary practice location
361 Simmons St
Erie, CO 80516-7201
Mailing address
361 Simmons St
Erie, CO 80516-7201
Phone (817) 996-5664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2Y6145 | Other | MEDICARE | |
| TXB130525 | Other | TX | MEDICARE INDIVIDUAL PTAN |
| 180498102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060801000128 | TX | Practitioner - Clinical Social Worker | 7517970940 | Practice locations: Fort Worth, TX |
| I20230905002289 | CO | Practitioner - Clinical Social Worker | 7517970940 | Practice locations: Erie, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
361 Simmons St
Erie, CO 80516-7201
Phone (817) 996-5664
5317 Santa Marie Ave
Fort Worth, TX 76114-4522
Phone (817) 996-5664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPSW912 | FL | MD | Clinical Social Worker |
| 35546 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilypad Therapy LLC | Clinical | Current | Accepting new patients |
| Associates in Psychiatry & Counseling, P.a. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Erie, CO
- NPI 1093524878
-
- Psychiatry Physician
- Arlington, TX
- NPI 1184673329
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1003864356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 SIMMONS ST",
"city": "ERIE",
"state": "CO",
"postal_code": "805167201",
"telephone_number": "817-996-5664",
"fax_number": "817-927-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 SIMMONS ST",
"city": "ERIE",
"state": "CO",
"postal_code": "805167201",
"telephone_number": "817-996-5664",
"fax_number": "817-927-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JANET",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09929170",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW912",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "35546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "2Y6145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "TXB130525",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180498102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.