Lakeisha Brown, LCSW, LCAS, LPCA
Individual provider Active NPI Clinical Social Worker · Winterville, NC
NPI 1487199477 · NPPES record last updated Jan 19, 2020
Key facts
- NPI
- 1487199477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C011739 (NC)
- Practice address
- 704 Alexandria LN
Winterville, NC 28590-9494 - Phone
- (252) 717-7782
- NPI assigned
- Dec 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20604 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A13559 | NC | MD | Professional Counselor |
| C011739 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Clinic, P a | Mental Health | Past | Accepting new patients |
| Carter Clinic, P.a. | Past |
Accepting new patients | |
| Carter Clinic, PA | Past | Accepting new patients | |
| Carter Clinic, P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20604 | NC | |
| Professional Counselor | 101YP2500X | A13559 | NC | |
| Clinical Social Worker | 1041C0700X | C011739 | NC | Yes |
Addresses
Primary practice location
704 Alexandria LN
Winterville, NC 28590-9494
Mailing address
704 Alexandria LN
Winterville, NC 28590-9494
Phone (252) 717-7782
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20604 | Other | NC | LICENSED CLINICAL ADDICTION SPECIALIST-ASSOCIATE |
| C011739 | Other | NC | LICENSED CLINICAL SOCIAL WORKER |
| A13559 | Other | NC | NCBLPC |
Other providers in Winterville, NC
- Bradlee Jerome Bray
- Breathe Ez Homecare
- Bright Star Enrichment Agency
- Bright Star Enrichment Agency
- Jazmin Bright
- Laneisha Brown
- Nicole H Brown
- Joseph P Byrne
- C & S Home Care Inc
- Kristin Marie Cain
All providers in Winterville, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.