Organization Active NPI

Steven P Brown Lisw P.a.

  • Clinical Social Worker
  • Moore, SC
National Provider Identifier
1275745929
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC LIC #1904 Issued in SC
Legal business name
STEVEN P BROWN LISW P.A.
Practice address
309 English Ivy CT # 8801
Moore, SC 29369-8801
Phone
(864) 582-4080
Fax
(864) 574-4066
NPI assigned
May 4, 2007
Reactivated
Nov 22, 2010
Organization subpart
Yes
Parent organization
STEVEN P BROWN LISW P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

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

Authorized official

Name
Mr. Steven Phillip Brown, LISW-CP
Title
President
Phone
(864) 582-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SC LIC #1904 SC Primary

Addresses

Primary practice location

309 English Ivy CT # 8801
Moore, SC 29369-8801

Mailing address

PO Box 6
Roebuck, SC 29376-0006
Phone (864) 582-4080

Other identifiers 3

IdentifierTypeStateIssuer
1275745929OtherSCORGANIZATIONAL TYPE II NPI
1821091737OtherSCTYPE I NPI #
9626OtherSCMEDICARE PTAN

Other names 1

  • BEHAVIORAL COUNSELING OF SC Doing business as

National Provider Directory

National Provider Directory
Part of
Assoc Psychotherapists

Locations

151 S Church St
Spartanburg, SC 29306
Phone (864) 582-4080

337 E Saint John St
#B
Spartanburg, SC 29302
Phone (864) 582-4080

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1275745929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293760006",
            "telephone_number": "864-582-4080",
            "fax_number": "864-574-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ENGLISH IVY CT # 8801",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698801",
            "telephone_number": "864-582-4080",
            "fax_number": "864-574-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P BROWN LISW P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN P BROWN LISW P.A.",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-09-06",
        "deactivation_date": "2009-04-02",
        "reactivation_date": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-582-4080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SC LIC #1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL TYPE II NPI",
            "identifier": "1275745929",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI #",
            "identifier": "1821091737",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9626",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEHAVIORAL COUNSELING OF SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.