Active NPI
Leslie Brown
- Clinical Social Worker
- Ridgefield, CT
National Provider Identifier
1548577372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7138
- Practice address
- 3 Big Shop LN
Ridgefield, CT 06877-4507 - Phone
- (203) 644-3654
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 7138 | CT | Primary |
Addresses
Primary practice location
3 Big Shop LN
Ridgefield, CT 06877-4507
Mailing address
89 Florida Hill Rd
Ridgefield, CT 06877-5229
Phone (203) 644-3654
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7138 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1548577372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 FLORIDA HILL RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068775229",
"telephone_number": "203-644-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BIG SHOP LN",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774507",
"telephone_number": "203-644-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "7138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.