Individual provider Active NPI

Ursula M Brown, PHD, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1255369518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00081600 Issued in NJ
Practice address
460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582
Phone
(973) 509-0052
Fax
(973) 857-8664
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

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 44SC00081600 NJ Primary

Addresses

Primary practice location

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582

Mailing address

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582
Phone (973) 509-0052

Other identifiers 1

IdentifierTypeStateIssuer
P3564382OtherOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC00081600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255369518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-509-0052",
            "fax_number": "973-857-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-509-0052",
            "fax_number": "973-857-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "URSULA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00081600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3564382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • 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.