Individual provider Active NPI

Lena Christine Brown, LCSWA

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1184101404
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012571 Issued in NC
Practice address
102 Chestnut Dr
High Point, NC 27262-6804
Phone
(336) 886-5594
Fax
(336) 886-6140
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 P012571 NC Primary

Addresses

Primary practice location

102 Chestnut Dr
High Point, NC 27262-6804

Mailing address

PO Box 6219
High Point, NC 27262-6219
Phone (336) 886-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220407001303 NC Practitioner - Clinical Social Worker 2769872803 Reassigns benefits to 1 organization
I20240418001105 SC Practitioner - Clinical Social Worker 2769872803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012571NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling Clinical CurrentSince Jan 1, 2024 Accepting new patients
United Health Centers CurrentSince Feb 26, 2022 Accepting new patients
United Health Center CurrentSince Feb 26, 2022 Accepting new patients

Locations

3009 Waughtown St
Winston Salem, NC 27107
Phone (336) 293-8728

2101 Peters Creek Pkwy
Ste 1619
Winston Salem, NC 27127
Phone (336) 293-8728

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

Interoperability endpoints

  • Direct secure messaging: lena.brown.p1@direct.frederikstedhealthvi.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBJAD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1184101404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6219",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626219",
            "telephone_number": "336-886-5594",
            "fax_number": "336-886-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHESTNUT DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626804",
            "telephone_number": "336-886-5594",
            "fax_number": "336-886-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LENA",
        "middle_name": "CHRISTINE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.