Individual provider Active NPI

Naomi Brown, LCSW

  • Social Worker
  • Fairfax, VA
National Provider Identifier
1063882611
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904010150 Issued in VA
Practice address
4031 University Dr Ste 100
Fairfax, VA 22030-3400
Phone
(703) 278-2832
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LG50081295 DC
Social Worker 104100000X 0904010150 VA Primary

Addresses

Primary practice location

4031 University Dr Ste 100
Fairfax, VA 22030-3400

Mailing address

4031 University Dr Ste 100
Fairfax, VA 22030-3400
Phone (703) 278-2832

Other practice location 1

3025 Hamaker Ct Ste 450
Fairfax, VA 22031-2237
Phone (703) 204-9100

Other practice location 2

2600 Douglass Rd SE
Washington, DC 20020
Phone (703) 477-2792

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

LicenseStateTypeSpecialty
LG50081295DCMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1063882611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303400",
            "telephone_number": "703-278-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303400",
            "telephone_number": "703-278-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Hamaker Ct Ste 450",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312237",
            "country_code": "US",
            "telephone_number": "703-204-9100",
            "fax_number": "301-468-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Douglass Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20020",
            "country_code": "US",
            "telephone_number": "703-477-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NAOMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG50081295",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904010150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.