Edward Brown, LMSW
Individual provider Active NPI Case Manager/Care Coordinator · Vidalia, LA
NPI 1215393129 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1215393129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1109 Carter St
Suite 10
Vidalia, LA 71373-3227 - Phone
- (318) 336-4700
- Fax
- (318) 336-4777
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8337 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Choices Counseling Services Incorporated | Clinical | Current | Accepting new patients |
Locations
315 S College Rd
Ste 287
Lafayette, LA 70503
Phone (337) 446-4707
1109 Carter St
Ste 10
Vidalia, LA 71373
Phone (318) 336-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Social Worker | 104100000X | 8337 | LA |
Addresses
Primary practice location
1109 Carter St
Suite 10
Vidalia, LA 71373-3227
Mailing address
1109 Carter St
Suite 10
Vidalia, LA 71373-3227
Phone (318) 336-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1561444 | Medicaid | LA |
Other providers in Vidalia, LA
- Jerricka A Bowman
- Bart Jerome Bradford
- Latrice Brengettsy
- Shacurious T Broadus
- Carolyn Ann Brown
- Rosalyn Porter Brown
- Andrea Hart Browning
- Bruce Professional Counseling
- Tracey Buckles
- Aminah Byoune-Worthen
All providers in Vidalia, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.