Active NPI
Tyronique Zakarra Brown, LCSW
- Clinical Social Worker
- Miami Gardens, FL
National Provider Identifier
1538949623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20163
- Practice address
- 20612 NW 27TH Ave
Miami Gardens, FL 33056-1469 - Phone
- (305) 637-6400
- NPI assigned
- Oct 5, 2023
- Last updated
- Oct 19, 2023
- 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 | 20163 | FL | Primary |
Addresses
Primary practice location
20612 NW 27TH Ave
Miami Gardens, FL 33056-1469
Mailing address
7540 Ladson Ter
Lake Worth, FL 33467-7724
Other practice location 1
5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400
Other practice location 2
3601 Van Buren St
Hollywood, FL 33021-8607
Phone (305) 720-9277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20163 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1538949623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 LADSON TER",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20612 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330561469",
"telephone_number": "305-637-6400"
}
],
"practiceLocations": [
{
"address_1": "5361 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331428035",
"country_code": "US",
"telephone_number": "305-637-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 Van Buren St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330218607",
"country_code": "US",
"telephone_number": "305-720-9277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TYRONIQUE",
"middle_name": "ZAKARRA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "20163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.