Tina Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000007547 Issued in TN

Practice address

8774 Lybrook CV W
Cordova, TN 38016-1499

Phone

(301) 233-5491

NPI assigned

Aug 28, 2021

Last updated

Aug 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1457028292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8774 LYBROOK CV W",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161499",
            "telephone_number": "301-233-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8774 LYBROOK CV W",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161499",
            "telephone_number": "301-233-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebbonie Renee Brooks, RBT
• Linda Brooks
• Brandi Sharese Brown, LPC-MHSP
• Denise Brown, M.S., LPC/MHSP
• Matthew Paul Brown, PMHNP
• Tonja Brown, MSSW, LAPSW
• Mallory Bruce, MA, CF-SLP
• Tara Brunson
• Sheryl Bryant
• Jun Tarcisio Buenconsejo, PT

• Clinical Social Worker in Cordova, TN
• Providers in Cordova, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.