Individual provider Active NPI

Christine Renee Brown, LCSW

  • Social Worker
  • Cuba, NY
National Provider Identifier
1164994331
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097835 Issued in NY
Practice address
36 Water St
Cuba, NY 14727-1023
Phone
(585) 402-1111
Fax
(585) 968-8610
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097835 NY Primary

Addresses

Primary practice location

36 Water St
Cuba, NY 14727-1023

Mailing address

36 Water St
Cuba, NY 14727-1023
Phone (585) 402-1111

Other practice location 1

112 S Clinton St
Olean, NY 14760-3629
Phone (585) 376-0224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260331001025 NY Practitioner - Clinical Social Worker 0648755397 Practice locations: Olean, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 S Clinton St
Olean, NY 14760-3629
Phone (585) 376-0224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097835NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1164994331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WATER ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271023",
            "telephone_number": "585-402-1111",
            "fax_number": "585-968-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WATER ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271023",
            "telephone_number": "585-402-1111",
            "fax_number": "585-968-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147603629",
            "country_code": "US",
            "telephone_number": "585-376-0224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINE",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, NY

Sources for this page

Verify at the official NPI Registry.