Racquel D Brown Mortimer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16816 Issued in FL

Practice address

1201 NW 16TH St
Miami, FL 33125-1624

Phone

(305) 575-7000

NPI assigned

Jan 22, 2020

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

Other names 1

• Ms. Racquel D Brown Former name

Electronic endpoints 1

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.

• Life Changing Development Center

  • Clinical Social Worker
  • Davie, FL
  • NPI 1700556875
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1356971923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 MIAMI DR 205",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "209-404-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN MORTIMER",
        "first_name": "RACQUEL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "1201 NW 16th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331251624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACQUEL",
            "last_name": "BROWN",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "RCSWI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miguel Eduardo Brown Arenas, LMFT
• Anita Brown Dean, OD
• Brown Foot and Ankle, LLC
• Brown Medical Center Corp
• Tia Brown Morgan, M. ED
• Hillary Antonnette Brown-Adderely, A.R.N.P.
• Sheryl Dawn Brown-Murray, M.D.
• Viviene Brown-Watson, LPN
• Aaliyah Brown, RBT
• Allison Brown

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.