Active NPI
Roberta Renee Brown, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1508968678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3769
- Practice address
- 8518 Owlswick Lane
Memphis, TN 38125-4416 - Phone
- (901) 755-2785
- Fax
- (901) 577-7427
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3769 | TN | Primary |
Addresses
Primary practice location
8518 Owlswick Lane
Memphis, TN 38125-4416
Mailing address
8518 Owlswick Lane
Memphis, TN 38125-4416
Phone (901) 755-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Department of Veterans Affairs Medical Center | Past | Accepting new patients |
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.
-
- Psychiatric Hospital
- Memphis, TN
- NPI 1619989621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508968678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8518 OWLSWICK LANE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254416",
"telephone_number": "901-755-2785",
"fax_number": "901-577-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8518 OWLSWICK LANE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254416",
"telephone_number": "901-755-2785",
"fax_number": "901-577-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROBERTA",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.