Sophia A Brown, LCSW
Individual provider Active NPI Clinical Social Worker · Windsor, CT
NPI 1457781635 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1457781635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 008235 (CT)
- Practice address
- 56 Poquonock Ave
Windsor, CT 06095-2507 - Phone
- (860) 752-5669
- NPI assigned
- Nov 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260406001427 | FL | Practitioner - Clinical Social Worker | 6002132842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008235 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soebrown Wellness | Current |
Accepting new patients | |
| Soebrown Inc. | Current |
Accepting new patients |
Locations
56 Poquonock Ave
Windsor, CT 06095
Phone (475) 261-0459
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008235 | CT | Yes |
Addresses
Primary practice location
56 Poquonock Ave
Windsor, CT 06095-2507
Mailing address
68 Arrowbrook Rd
Windsor, CT 06095-3929
Phone (860) 752-5669
NPI Registry JSON
{
"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
- Victoria Brooks
- Kimberly Ann Broughal
- Ann-Marie Brown
- Ciera Brown
- Deseree Brown
- Meaghan F Brunelle
- Janae Bryant
- Build a Better You Family Services
- Amber Burke
- Dexter Burke
All providers in Windsor, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.