Lisa Brown, LCSW L.L.C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904005572 Issued in VA

Legal business name

LISA BROWN, LCSW L.L.C

Practice address

13510 E Boundary Rd
Suite 104
Midlothian, VA 23112-4057

Phone

(804) 876-0239

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Brown, LCSWNPI 1780771667

Title

Owner

Phone

(804) 926-0991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Lisa Brown, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1780771667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1073917860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 E BOUNDARY RD",
            "address_2": "SUITE 104",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124057",
            "telephone_number": "804-876-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13510 E BOUNDARY RD",
            "address_2": "SUITE 104",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124057",
            "telephone_number": "804-876-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BROWN, LCSW L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-926-0991",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904005572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Rehabilitation Center LLC
• Diana A Lim, PT, DPT, OCS,CERT DN
• Hillary M. Lindsay, PT, DPT
• Amanda Lindsey, OD
• Susan Linscott, LCSW
• Gabriel Littaua, PT
• Natasha Nicole Little-Harrison, PSY.D.
• Keith L Little, DDS
• Parul D. Little, M.D.
• Shana Little

• Community/Behavioral Health Agency in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.