Active NPI
Alfred Dean Brown, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1265637466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20047
- Practice address
- 10938 Poblado Rd Apt 2822
San Diego, CA 92127-5339 - Phone
- (714) 872-1030
- Fax
- (844) 579-0110
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS20047 | CA | Primary |
Addresses
Primary practice location
10938 Poblado Rd Apt 2822
San Diego, CA 92127-5339
Mailing address
10938 Poblado Rd Apt 2822
San Diego, CA 92127-5339
Phone (714) 872-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100607000563 | CA | Practitioner - Clinical Social Worker | 2567592280 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
San Diego, CA 92127
Phone (619) 535-9810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20047 | CA | MD | Clinical Social Worker |
| 20047 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1265637466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10938 POBLADO RD APT 2822",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275339",
"telephone_number": "714-872-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10938 POBLADO RD APT 2822",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275339",
"telephone_number": "714-872-1030",
"fax_number": "844-579-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALFRED",
"middle_name": "DEAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2021-03-09",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.