Individual provider Active NPI

Manda Shae Brown, LMSW

  • School Social Worker
  • Baton Rouge, LA
National Provider Identifier
1437525888
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
13336 Issued in LA
Practice address
8676 Goodwood Blvd Suite 105
Alternate Therapeutic Solutions, LLC
Baton Rouge, LA 70806-7900
Phone
(225) 636-5817
Fax
(866) 507-9329
NPI assigned
Aug 19, 2015
Last updated
May 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 13336 LA Primary

Addresses

Primary practice location

8676 Goodwood Blvd Suite 105
Alternate Therapeutic Solutions, LLC
Baton Rouge, LA 70806-7900

Mailing address

8676 Goodwood Blvd Suite 105
Alternate Therapeutic Solutions, LLC
Baton Rouge, LA 70806-7900
Phone (225) 636-5817

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
13336LAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balance and Bloom Therapy, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1437525888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8676 GOODWOOD BLVD SUITE 105",
            "address_2": "ALTERNATE THERAPEUTIC SOLUTIONS, LLC",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067900",
            "telephone_number": "225-636-5817",
            "fax_number": "866-507-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8676 GOODWOOD BLVD SUITE 105",
            "address_2": "ALTERNATE THERAPEUTIC SOLUTIONS, LLC",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067900",
            "telephone_number": "225-636-5817",
            "fax_number": "866-507-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MANDA",
        "middle_name": "SHAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "13336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.