Individual provider Active NPI

Wayne Peter Brown, L.C.S.W.

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1194939579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8210 Issued in FL
Practice address
1467 NE 56TH St
Suite 2
Fort Lauderdale, FL 33334-6111
Phone
(954) 536-8257
Fax
(954) 963-7169
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW8210 FL Primary

Addresses

Primary practice location

1467 NE 56TH St
Suite 2
Fort Lauderdale, FL 33334-6111

Mailing address

1467 NE 56TH St
Suite 2
Fort Lauderdale, FL 33334-6111
Phone (954) 536-8257

Other names 1

  • Wayne P Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081112000046 FL Practitioner - Clinical Social Worker 8426117011 Practice locations: Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 NE 45TH St
Suite 225
Fort Lauderdale, FL 33308-5136
Phone (954) 536-8257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Travis, Inc Past Accepting new patients
Timothy O'Connor, L.C.S.W., P.a. Past Accepting new patients

Organizations & group practices 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194939579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 NE 56TH ST",
            "address_2": "SUITE 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333346111",
            "telephone_number": "954-536-8257",
            "fax_number": "954-963-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 NE 56TH ST",
            "address_2": "SUITE 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333346111",
            "telephone_number": "954-536-8257",
            "fax_number": "954-963-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WAYNE",
        "middle_name": "PETER",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYNE",
            "last_name": "BROWN",
            "middle_name": "P",
            "credential": "L.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.