Individual provider Active NPI

Kelvin Brown

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1497261630
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6230 Issued in TN
Practice address
421 E Thompson LN Apt 8
Nashville, TN 37211-2657
Phone
(615) 578-3114
NPI assigned
Dec 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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 6230 TN Primary

Addresses

Primary practice location

421 E Thompson LN Apt 8
Nashville, TN 37211-2657

Mailing address

421 E Thompson LN Apt 8
Nashville, TN 37211-2657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IN, PA, NC, TN, MS6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20241004002574 AZ Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization
I20241029002868 IN Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization
I20241101002177 PA Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization
I20241127000546 NC Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization
I20241209000239 TN Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization
I20260415000247 MS Practitioner - Clinical Social Worker 5496286163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 27, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1497261630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E THOMPSON LN APT 8",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E THOMPSON LN APT 8",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112657",
            "telephone_number": "615-578-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.