Lisa Marie Brown, LCSW
Individual provider Active NPI Clinical Social Worker · Hazlet, NJ
NPI 1114139482 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1114139482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05303700 (NJ)
- Practice address
- 41 Village CT
Hazlet, NJ 07730-1535 - Phone
- (732) 740-8983
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1899 W Custer LN
Fayetteville, AR 72701-6777
379 Campus Dr
Somerset, NJ 08873-1161
66 W Gilbert St
Suite 200
Red Bank, NJ 07701-4948
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623004958 | NJ | Practitioner - Clinical Social Worker | 4688147481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05303700 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05303700 | NJ | Yes |
Addresses
Primary practice location
41 Village CT
Hazlet, NJ 07730-1535
Mailing address
41 Village CT
Hazlet, NJ 07730-1535
Phone (732) 740-8983
Other practice location 1
200 Wycoff Road
Eatontown NJ, NJ 07724
Phone (888) 244-5373
Other providers in Hazlet, NJ
- Kelsey Borden
- Monica Boulos
- Rachel Boulos
- Kerith Boyle
- Russell Bradford
- Samantha Brown
- Ibrahim Salem Buker
- Rebecca Bullen
- Justin Burgess
- Amy H. Burke
All providers in Hazlet, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.