Individual provider Active NPI

Joan Lee Brown, RN, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1558050401
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801014615 Issued in MI
Practice address
5179 Christine CT
Ann Arbor, MI 48103-1549
Phone
(734) 678-9021
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704106673 MI
Clinical Social Worker 1041C0700X 6801014615 MI Primary

Addresses

Primary practice location

5179 Christine CT
Ann Arbor, MI 48103-1549

Mailing address

5179 Christine CT
Ann Arbor, MI 48103-1549
Phone (734) 678-9021

Other practice location 1

1601 Briarwood Cir Ste 400
Ann Arbor, MI 48108-1650
Phone (734) 822-4971

Other names 1

  • Ms. Joan Lee Brown Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
6801014615MIMDClinical Social Worker
4704106673MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1558050401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5179 CHRISTINE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031549",
            "telephone_number": "734-678-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5179 CHRISTINE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031549",
            "telephone_number": "734-678-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Briarwood Cir Ste 400",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081650",
            "country_code": "US",
            "telephone_number": "734-822-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704106673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BROWN",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "RN, LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.