Active NPI
Patricia Brown, LCSW-C
- Clinical Social Worker
- Rockville, MD
National Provider Identifier
1447394713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09525
- Practice address
- 15245 Shady Grove Rd Ste 315
Rockville, MD 20850-6208 - Phone
- (240) 457-9194
- NPI assigned
- Feb 19, 2007
- Reactivated
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09525 | MD | Primary |
Addresses
Primary practice location
15245 Shady Grove Rd Ste 315
Rockville, MD 20850-6208
Mailing address
15245 Shady Grove Rd Ste 315
Rockville, MD 20850-6208
Phone (240) 457-9194
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213202 | Other | MD | COMPSYCH |
| 388898 | Other | MD | ALLIANCE GROUP # |
| 725224 | Other | MD | NCPPO |
| 7869465 | Other | MD | AETNA INDIVIDUAL # |
| 7592348 | Other | MD | AETNA GROUP |
| 6242449 | Other | MD | COVENTRY |
| 229676-000 | Other | MD | MAGELLAN MIS# |
| 388405 | Other | MD | ALLIANCE INDIVIDUAL # |
Other names 1
- Patricia Beall
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1447394713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD STE 315",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506208",
"telephone_number": "240-457-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD STE 315",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506208",
"telephone_number": "240-457-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PATRICIA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"deactivation_date": "2018-07-14",
"reactivation_date": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "213202",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE GROUP #",
"identifier": "388898",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "725224",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INDIVIDUAL #",
"identifier": "7869465",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP",
"identifier": "7592348",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "6242449",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS#",
"identifier": "229676-000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE INDIVIDUAL #",
"identifier": "388405",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "BEALL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.