Active NPI
Adam Brown, PHD, LCSW, LICSW
- Clinical Social Worker
- Easthampton, MA
National Provider Identifier
1053569079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 203 East St
Easthampton, MA 01027-1234 - Phone
- (413) 529-7266
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05999200 | NJ | |
| Clinical Social Worker | 1041C0700X | 087578 | NY | |
| Clinical Social Worker | 1041C0700X | 121590 | MA | |
| Clinical Social Worker | 1041C0700X | 149.014343 | IL | |
| Clinical Social Worker | 1041C0700X | 149014343 | IL | |
| Clinical Social Worker | 1041C0700X | 60513696 | WA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
203 East St
Easthampton, MA 01027-1234
Mailing address
PO Box 216
Maplewood, NJ 07040-0216
Phone (508) 510-0256
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014343 | IL | MD | Clinical Social Worker |
| 149014343 | IL | MD | Clinical Social Worker |
| 121590 | MA | MD | Clinical Social Worker |
| 44SC05999200 | NJ | MD | Clinical Social Worker |
| 087578 | NY | MD | Clinical Social Worker |
| 60513696 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1053569079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 216",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070400216",
"telephone_number": "508-510-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 EAST ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271234",
"telephone_number": "413-529-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHD, LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05999200",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087578",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121590",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014343",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014343",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60513696",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.