Active NPI
Jody Brown, M.S.W., L.C.S.W.
- Clinical Social Worker
- Longmont, CO
National Provider Identifier
1053564765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW-298
- Practice address
- 702 10TH Ave
Longmont, CO 80501-4536 - Phone
- (303) 667-2245
- NPI assigned
- Oct 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW-298 | CO | Primary |
Addresses
Primary practice location
702 10TH Ave
Longmont, CO 80501-4536
Mailing address
334 Vivian St
Longmont, CO 80501-4841
Phone (303) 981-3455
Other names 1
- Ms. Joellen Brown
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW-298 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longmont United Hospital | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224892800000",
"number": "1053564765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 VIVIAN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014841",
"telephone_number": "303-981-3455",
"fax_number": "303-485-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 10TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014536",
"telephone_number": "303-667-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JODY",
"name_prefix": "Ms.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-25",
"last_updated": "2008-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW-298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOELLEN",
"last_name": "BROWN",
"prefix": "MS.",
"credential": "L.C.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.