Stella E Brown, LCSW, BCSAC
Individual provider Active NPI Clinical Social Worker · Port Allen, LA
NPI 1013066372 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1013066372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4890 (LA)
- Practice address
- 203 Allendale Dr
Port Allen, LA 70767 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Care Providers for a Healthy Feliciana, Inc
Practice addresses (Care Compare)
11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120531000630 | LA | Practitioner - Clinical Social Worker | 8325201387 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 4890 | LA | MD | Professional Counselor |
Practice roles (7 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients |
Locations
455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300
11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111
10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877
28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356
54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000
3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227
Networks
- MS PPO D-SNP
- MS PPO
- TX HMO D-SNP
- TX HMO
- MS PPO C-SNP
- LA PPO C-SNP
Interoperability endpoints
- stella.brown.p1@direct.rkmprimarycare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 042 | LA | |
| Social Worker | 104100000X | 4890 | LA | |
| Clinical Social Worker | 1041C0700X | 4890 | LA | Yes |
Addresses
Primary practice location
203 Allendale Dr
Port Allen, LA 70767
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other practice location 1
6161 Perkins Rd Ste 2C
Baton Rouge, LA 70808-4119
Phone (225) 769-2770
Other practice location 2
6161 Perkins Rd Ste 2C
Baton Rouge, LA 70808-4119
Phone (225) 769-2770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2194542 | Medicaid | LA |
Other providers in Port Allen, LA
- Bio-Medical Applications of Louisiana, LLC
- Blessed Community Transportation
- Blessed Community Transportation LLC
- Sandra Bourque
- Monique J Brown
- Renee Mitchell Bujol
- Brooke Allemand Buriege
- Rhanda Callahan
- Madeline Capello
- Elaine Daniel Carpenter
All providers in Port Allen, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.