Active NPI
John Francis Brown Jr., LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1063629053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 12974
- Practice address
- 7200 Bancroft Ave Ste 125D
Oakland, CA 94605-2424 - Phone
- (510) 917-1194
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 12974 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC 22778 | CA |
Addresses
Primary practice location
7200 Bancroft Ave Ste 125D
Oakland, CA 94605-2424
Mailing address
PO Box 2721
Alameda, CA 94501-0721
Phone (510) 917-1194
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 12974 | CA | MD | Clinical Social Worker |
| MFC 22778 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1063629053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2721",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945010721",
"telephone_number": "510-917-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE STE 125D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052424",
"telephone_number": "510-917-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 12974",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 22778",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.