Organization Active NPI

Pamela S. Brown, MSW, LCSW, Inc

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1053621888
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO2433 Issued in NC
Legal business name
PAMELA S. BROWN, MSW, LCSW, INC
Practice address
4500 Simsbury Rd
B
Charlotte, NC 28226-8226
Phone
(980) 875-9380
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Pamela S. Brown, LCSWNPI 1255492005
Title
President
Phone
(980) 875-9380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X COO2433 NC Primary

Addresses

Primary practice location

4500 Simsbury Rd
B
Charlotte, NC 28226-8226

Mailing address

7804 Fairview Rd.
C
Charlotte, NC 28226-8226
Phone (980) 875-9380

National Provider Directory

National Provider Directory

Locations

7804 Fairview Rd
Ste C
Charlotte, NC 28226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1053621888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 FAIRVIEW RD.",
            "address_2": "C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268226",
            "telephone_number": "980-875-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SIMSBURY RD",
            "address_2": "B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268226",
            "telephone_number": "980-875-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S. BROWN, MSW, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-875-9380",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO2433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.