Individual provider Active NPI

Julian Xavier Brown, LCSWA

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1164283339
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019374 Issued in NC
Practice address
207 S Broad St Ste 1
Mooresville, NC 28115-3189
Phone
(704) 660-6854
Fax
(704) 662-0866
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P019374 NC Primary

Addresses

Primary practice location

207 S Broad St Ste 1
Mooresville, NC 28115-3189

Mailing address

207 S Broad St Ste 1
Mooresville, NC 28115-3189
Phone (704) 660-6854

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P019374NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Homes, LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363

Organizations & group practices 1

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1164283339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BROAD ST STE 1",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153189",
            "telephone_number": "704-660-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S BROAD ST STE 1",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153189",
            "telephone_number": "704-660-6854",
            "fax_number": "704-662-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JULIAN",
        "middle_name": "XAVIER",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.