Giovannie Brown

Individual provider Active NPI Clinical Social Worker · Mountain BRK, AL

NPI 1629649488 · NPPES record last updated Jul 2, 2021

Key facts

NPI
1629649488
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
4 Office Park Cir
Mountain BRK, AL 35223-2511
Phone
(205) 619-1660
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X AL Yes

Addresses

Primary practice location

4 Office Park Cir
Mountain BRK, AL 35223-2511

Mailing address

4 Office Park Cir
Mountain BRK, AL 35223-2511

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com Direct THE WISE CENTER FOR DBT

Other providers in Mountain BRK, AL

All providers in Mountain BRK, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.