Active NPI
Letitia O. Brown LCSW, P.C.
- Community/Behavioral Health Agency
- West Islip, NY
National Provider Identifier
1104321116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 079892
- Legal business name
- LETITIA O. BROWN LCSW, P.C.
- Practice address
- 631 Montauk Hwy Ste 5
West Islip, NY 11795-4400 - Phone
- (516) 761-0523
- Fax
- (631) 588-1343
- NPI assigned
- Mar 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Letitia Olivia Brown, LCSW
- Title
- President
- Phone
- (516) 761-0523
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 079892 | NY | Primary |
Addresses
Primary practice location
631 Montauk Hwy Ste 5
West Islip, NY 11795-4400
Mailing address
631 Montauk Hwy Ste 5
West Islip, NY 11795-4400
Phone (516) 761-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
631 Montauk Hwy
Ste 5
West Islip, NY 11795
Phone (516) 761-0523
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bay Shore, NY
- NPI 1356422802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522368000000",
"number": "1104321116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 MONTAUK HWY STE 5",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954400",
"telephone_number": "516-761-0523",
"fax_number": "631-588-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 MONTAUK HWY STE 5",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954400",
"telephone_number": "516-761-0523",
"fax_number": "631-588-1343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETITIA O. BROWN LCSW, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-30",
"last_updated": "2018-03-30",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LETITIA",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-761-0523",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "079892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.