Jolie J. Brown, LMSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6801092311 Issued in MI

Legal business name

JOLIE J. BROWN, LMSW LLC

Practice address

4519 Cascade Rd SE Ste 4
Grand Rapids, MI 49546-8319

Phone

(616) 244-2218

Fax

(616) 469-2891

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jolie Brown, LMSWNPI 1417234246

Title

Clinical Social Worker

Phone

(773) 266-1066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jolie Jean Thomson Brown, LMSW, LCSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1417234246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1508379397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD. SE",
            "address_2": "BUILDING 1, SUITE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-244-2218",
            "fax_number": "616-469-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468319",
            "telephone_number": "616-244-2218",
            "fax_number": "616-469-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIE J. BROWN, LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-266-1066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801092311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elaine Johnston, M.D.
• Kristine Johnston
• Rachiel Abul Atem Jok
• Ashley Dominque Joldersma, PA-C
• Joanne Joliat, PA-C
• Brianna Jolly
• Jonas Paul Eyewear, LLC
• Jonathan D Eagle DDS PC
• Alan S Jones, MD
• Amber Jones

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.