Larry Wayne Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003160 Issued in GA

Practice address

1911 Thompson Ave
East Point, GA 30344-6837

Phone

(912) 713-5699

NPI assigned

Nov 9, 2010

Sex

Male

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Serenity Community Services

  • Community/Behavioral Health Agency
  • NPI 1477889749

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1386945269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 THOMPSON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446837",
            "telephone_number": "912-713-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 THOMPSON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446837",
            "telephone_number": "912-713-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious L Braswell, MD
• Bright Future Therapy Services
• Michael Alexander Brittain, LCSW
• Genevieve E Broomfield, R.D, L.D., C.S.R.
• Jonathan Kyle Brown
• Stefania Patania Bruen, RN
• Irene Lewis Brumfield, RD, LD
• Ayanna V Buckner, MD
• Claire Kendall Bush, M.D.
• Cassandra Bussey, SPECIALIST

• Clinical Social Worker in East Point, GA
• Providers in East Point, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.