Individual provider Active NPI

Emelda Collins-Brown, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1295585073
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14795 Issued in LA
Practice address
11408 Lake Sherwood Ave N
Baton Rouge, LA 70816-0420
Phone
(225) 261-7143
Fax
(225) 250-1026
NPI assigned
Mar 25, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 14795 LA Primary

Addresses

Primary practice location

11408 Lake Sherwood Ave N
Baton Rouge, LA 70816-0420

Mailing address

11408 Lake Sherwood Ave N
Baton Rouge, LA 70816-0420
Phone (225) 261-7143

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14795LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1295585073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160420",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160420",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-BROWN",
        "first_name": "EMELDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.