Individual provider Active NPI

Judy Ann Brown, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1033529904
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20205 Issued in MN
Practice address
3301 25TH Ave S
Minneapolis, MN 55406-2405
Phone
(612) 532-2292
Fax
(612) 724-3959
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20205 MN Primary

Addresses

Primary practice location

3301 25TH Ave S
Minneapolis, MN 55406-2405

Mailing address

3301 25TH Ave S
Minneapolis, MN 55406-2405
Phone (612) 532-2292

Other practice location 1

1250 W Broadway Ave
Minneapolis, MN 55411-2533
Phone (612) 876-1746

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20205MNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1033529904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 25TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062405",
            "telephone_number": "612-532-2292",
            "fax_number": "612-724-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 25TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062405",
            "telephone_number": "612-532-2292",
            "fax_number": "612-724-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554112533",
            "country_code": "US",
            "telephone_number": "612-876-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.