Organization Active NPI

Debra a Brown LCSW Inc

  • Clinical Social Worker
  • The Villages, FL
National Provider Identifier
1457721763
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11397 Issued in FL
Legal business name
DEBRA A BROWN LCSW INC
Practice address
3142 Islawild Way
The Villages, FL 32163-2313
Phone
(315) 382-1305
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Debra A Brown, LCSW
Title
Owner
Phone
(315) 382-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW11397 FL Primary

Addresses

Primary practice location

3142 Islawild Way
The Villages, FL 32163-2313

Mailing address

3142 Islawild Way
The Villages, FL 32163-2313

National Provider Directory

National Provider Directory

Locations

416 Teague Trl
The Villages, FL 32159
Phone (352) 228-9091

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1457721763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 ISLAWILD WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 ISLAWILD WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632313",
            "telephone_number": "315-382-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A BROWN LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-382-1305",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.