Lynn Marie Brown, LSW
Individual provider Active NPI Social Worker · Chillicothe, OH
NPI 1124598776 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1124598776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.1802174 (OH)
- Practice address
- 126 E 2ND St
Chillicothe, OH 45601-2593 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20241003003720 | OH | Practitioner - Clinical Social Worker | 4688105497 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1802174 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affect Therapeutics Inc | Current |
Accepting new patients |
Locations
507 Richland Ave
Ste 105
Athens, OH 45701
Phone (407) 693-2666
1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.1802174 | OH | |
| Social Worker | 104100000X | S.1802174 | OH | Yes |
Addresses
Primary practice location
126 E 2ND St
Chillicothe, OH 45601-2593
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.