Individual provider Active NPI

Sophia A Brown, LCSW

  • Clinical Social Worker
  • Windsor, CT
National Provider Identifier
1457781635
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008235 Issued in CT
Practice address
56 Poquonock Ave
Windsor, CT 06095-2507
Phone
(860) 752-5669
NPI assigned
Nov 25, 2013
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008235 CT Primary

Addresses

Primary practice location

56 Poquonock Ave
Windsor, CT 06095-2507

Mailing address

68 Arrowbrook Rd
Windsor, CT 06095-3929
Phone (860) 752-5669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260406001427 FL Practitioner - Clinical Social Worker 6002132842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Arrowbrook Rd
Windsor, CT 06095-3929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008235CTMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Soebrown Wellness CurrentSince Jul 2, 2023 Accepting new patients
Soebrown Inc. CurrentSince Jul 2, 2023 Accepting new patients

Locations

56 Poquonock Ave
Windsor, CT 06095
Phone (475) 261-0459

Organizations & group practices 3

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1457781635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ARROWBROOK RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953929",
            "telephone_number": "860-752-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952507",
            "telephone_number": "860-752-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SOPHIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.