Theresa Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12956 Issued in FL

Practice address

616 Dorando CT
Marco Island, FL 34145-1912

Phone

(239) 297-4582

NPI assigned

May 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Put Your Mind at Ease Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marco Island, FL
  • NPI 1750069548

  CT

  Medicare reassignment NPD Authorized official
• CT Healing Center

  • Community/Behavioral Health Agency
  • Cheshire, CT
  • NPI 1477852853
  NPD (past)

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1427318971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 DORANDO CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451912",
            "telephone_number": "239-297-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DORANDO CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451912",
            "telephone_number": "239-297-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW 6795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bores, MSPT
• Albert V Bosch, M.D.
• Cathleen Teresa Bova, OTRL
• Frank Allan Brettschneider, D.O.
• Jamie Brown
• Kimari Lanae Buford
• Marlia Burke, RPH
• Sadiya Elizabeth Burnett
• C. Kirk Demartino M.D. PA
• Cesar James Cabrera

• Clinical Social Worker in Marco Island, FL
• Providers in Marco Island, 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 Jul 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.