Active NPI
Jade Brown
- Clinical Social Worker
- Cannon AFB, NM
National Provider Identifier
1467079863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2024-0942
- Practice address
- 224 W D.L. Ingram Avenue, BLDG 1408
Cannon AFB, NM 88103-5834 - Phone
- (575) 590-2992
- NPI assigned
- Jul 1, 2020
- Last updated
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-11472 | NM | |
| Clinical Social Worker | 1041C0700X | SWB-2024-0942 | NM | Primary |
Addresses
Primary practice location
224 W D.L. Ingram Avenue, BLDG 1408
Cannon AFB, NM 88103-5834
Mailing address
224 W D.L. Ingram Avenue, BLDG 1408
Cannon AFB, NM 88103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrown@swfgc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 Auburn St
Suite 103
Portland, ME 04103-6005
Phone (207) 616-1127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-11472 | NM | MD | Social Worker |
| SWB-2024-0942 | NM | MD | Clinical Social Worker |
Organizations & group practices 1
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": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1467079863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W D.L. INGRAM AVENUE, BLDG 1408",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "88103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W D.L. INGRAM AVENUE, BLDG 1408",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "881035834",
"telephone_number": "575-590-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JADE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2025-03-19",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-11472",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2024-0942",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrown@swfgc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2517 Panorama Dr",
"city": "Silver City",
"state": "NM",
"country_code": "US",
"postal_code": "880615834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cannon AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.