Individual provider Active NPI

Imari Jacoya Brower, LCSWA

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1336755370
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014821 Issued in NC
Practice address
16 Summertree LN Apt G
Greensboro, NC 27406-5635
Phone
(336) 407-3041
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 P014821 NC Primary

Addresses

Primary practice location

16 Summertree LN Apt G
Greensboro, NC 27406-5635

Mailing address

16 Summertree LN Apt G
Greensboro, NC 27406-5635
Phone (336) 407-3041

Other names 1

  • Ms. Imari Jacoya Brower Professional name

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
P014821NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1336755370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUMMERTREE LN APT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065635",
            "telephone_number": "336-407-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SUMMERTREE LN APT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065635",
            "telephone_number": "336-407-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "IMARI",
        "middle_name": "JACOYA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMARI",
            "last_name": "BROWER",
            "middle_name": "JACOYA",
            "prefix": "MS.",
            "credential": "IMARI J. BROWER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.