Individual provider Active NPI

Eva Anita Brown, LCSW

  • Clinical Social Worker
  • Laguna Niguel, CA
National Provider Identifier
1154665701
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010779 Issued in VA
Practice address
179 Seafare
Laguna Niguel, CA 92677-5985
Phone
(415) 519-0068
Fax
(415) 519-0068
NPI assigned
Nov 20, 2012
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010779 VA Primary
Clinical Social Worker 1041C0700X LCS18234 CA

Addresses

Primary practice location

179 Seafare
Laguna Niguel, CA 92677-5985

Mailing address

179 Seafare
Laguna Niguel, CA 92677-5985
Phone (415) 519-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000975 VA Practitioner - Clinical Social Worker 8426397613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS18234CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Dec 31, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Dec 31, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Clinical CurrentSince Dec 31, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Dec 31, 2018 Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Locations

172 Linden Dr
Ste 111
Winchester, VA 22601
Phone (540) 535-0269

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 100
Winchester, VA 22601

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154665701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SEAFARE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775985",
            "telephone_number": "415-519-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SEAFARE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775985",
            "telephone_number": "415-519-0068",
            "fax_number": "415-519-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EVA",
        "middle_name": "ANITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010779",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.