Tahjae Janessia Brown, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019941 Issued in NC

Practice address

2110 Wexford Oaks CT
Fayetteville, NC 28303-4800

Phone

(910) 813-4809

NPI assigned

Jul 12, 2024

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebirth-Heart and Mind PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1831915511
  NPD (past)

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1295572519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 WEXFORD OAKS CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034800",
            "telephone_number": "910-813-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 WEXFORD OAKS CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034800",
            "telephone_number": "910-813-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TAHJAE",
        "middle_name": "JANESSIA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Branch Brown, PA-C
• Rebecca Brown
• Roderick Eugene Brown Jr., LCSW
• Sallie Brown
• Shayla Monique Brown, COTA/L
• Tamu M. Brown
• Terrill F Brown, DPM
• Thomas Radford Brown Jr., PA-C
• Tinola Martez Brown, LCASA
• Tonna Lynette Brown, MSW, LCSW

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.