Teddy Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007005866 Issued in MO

Practice address

118 W Spring St
Neosho, MO 64850-1720

Phone

(417) 451-6106

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164629622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VERBRYCK ST",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648349742",
            "telephone_number": "417-782-1772",
            "fax_number": "417-782-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W SPRING ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501720",
            "telephone_number": "417-451-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TEDDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007005866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon F Bosley, CRNA
• Cassidy Victoria Braga, NP
• Kayla Braun, COTA/L
• Rebecca Megan Broadbent, DO
• Laken Nicole Brock, PHARMD
• Amelia Bruner, COTA
• William Douglas Burch, D.D.S.
• Andrew Michael Byrne, DDS
• Kira Lynn Carnahan, COTA
• Matthew Casey

• Clinical Social Worker in Neosho, MO
• Providers in Neosho, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.