Individual provider Active NPI

Robert Claude Brown, LCSW

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1073808242
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006522 Issued in NC
Practice address
110 N Center St Ste 203
Hickory, NC 28601-6294
Phone
(828) 358-1110
Fax
(828) 358-1110
NPI assigned
Jun 15, 2011
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006522 NC Primary

Addresses

Primary practice location

110 N Center St Ste 203
Hickory, NC 28601-6294

Mailing address

2359 US Highway 70 SE
No. 357
Hickory, NC 28602-8300
Phone (828) 358-1110

Other identifiers 1

IdentifierTypeStateIssuer
6007919MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000458 NC Practitioner - Clinical Social Worker 6709056021 Reassigns benefits to 1 organization
Practice locations: Hickory, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Solutions, LLCGroup PAC ID 4981869518, 2 clinicians

Practice addresses (Care Compare)

Hickory, NC 28602
Phone 8283581110804

2359 Hwy 70 SE
Suite 357
Hickory, NC 28602-8300

2359 US Hwy 70 SE
Suite 357
Hickory, NC 28602-8300

2359 US Hwy 70 SE 357
Hickory, NC 28602-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006522NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Solutions, LLC Clinical CurrentSince Jun 2, 2012 Accepting new patients
Psych on Site of North Carolina, Inc Clinical CurrentSince Jul 17, 2012 Accepting new patients

Locations

110 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 358-1110

2359 US Highway 70 SE
Hickory, NC 28602
Phone (828) 358-1110

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1073808242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 US HIGHWAY 70 SE",
            "address_2": "NO. 357",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028300",
            "telephone_number": "828-358-1110",
            "fax_number": "828-358-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CENTER ST STE 203",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016294",
            "telephone_number": "828-358-1110",
            "fax_number": "828-358-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "CLAUDE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007919",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.