Cynthia A. Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-007451 Issued in IL

Practice address

415 S Mulford Rd
Rockford, IL 61108-3011

Phone

(815) 978-0256

Fax

(815) 399-5767

NPI assigned

Nov 21, 2006

Last updated

May 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1265507891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083011",
            "telephone_number": "815-978-0256",
            "fax_number": "815-399-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083011",
            "telephone_number": "815-978-0256",
            "fax_number": "815-399-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Broom, LPC
• Madelyn E Brotnow, PA - C
• Ann L. Broughton, M.A.
• Angela Brown, N.P
• Bryce Brown
• Jennifer Ann Brown
• Mary Brown, MD
• Katelyn Bruch, FNP- BC
• Michael R Bruemmer, PTA
• Matthew James Bruksch, DDS FACS

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.