Individual provider Active NPI

Heather Lynn Brown, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1336696293
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010504 Issued in NC
Practice address
3705 Latrobe Dr
Ste 340
Charlotte, NC 28211-4824
Phone
(704) 364-3989
Fax
(704) 364-3974
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 P010504 NC Primary

Addresses

Primary practice location

3705 Latrobe Dr
Ste 340
Charlotte, NC 28211-4824

Mailing address

3705 Latrobe Dr
Ste 340
Charlotte, NC 28211-4824
Phone (704) 364-3989

Other identifiers 2

IdentifierTypeStateIssuer
1780871293OtherNCFAMILY FIRST COMMUNITY SERVICES
1891091641OtherNCFAMILY FIRST COMMUNITY SERVICES

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
P010504NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1336696293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 LATROBE DR",
            "address_2": "STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114824",
            "telephone_number": "704-364-3989",
            "fax_number": "704-364-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 LATROBE DR",
            "address_2": "STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114824",
            "telephone_number": "704-364-3989",
            "fax_number": "704-364-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY FIRST COMMUNITY SERVICES",
            "identifier": "1780871293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY FIRST COMMUNITY SERVICES",
            "identifier": "1891091641",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.