Active NPI
Lila D Brown, LCSW
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1104877091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 533
- Practice address
- 3801 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5234 - Phone
- (907) 212-6922
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 533 | AK | Primary |
Addresses
Primary practice location
3801 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5234
Mailing address
3832 Apollo Dr
Anchorage, AK 99504-4504
Phone (907) 764-5136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH3148 | Medicaid | AK | |
| MH3681 | Medicaid | AK |
Other names 1
- Mrs. Lila D Berry
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
| License | State | Type | Specialty |
|---|---|---|---|
| 533 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Past | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1467547265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1104877091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 APOLLO DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044504",
"telephone_number": "907-764-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY",
"address_2": "SUITE 200",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-212-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LILA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH3148",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH3681",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LILA",
"last_name": "BERRY",
"middle_name": "D",
"prefix": "MRS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.