Individual provider Active NPI

Janet M. Brown, LCSW

  • Clinical Social Worker
  • Erie, CO
National Provider Identifier
1003864356
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35546 Issued in TX
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

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2Y6145OtherMEDICARE
TXB130525OtherTXMEDICARE INDIVIDUAL PTAN
180498102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
TPSW912FLMDClinical Social Worker
35546TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lilypad Therapy LLC Clinical CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.