NPIMap

Individual provider Active NPI

David Bowles Brown, LISW, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1639358476
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4625 Issued in OK
Practice address
9717 E 42ND St
Suite 208
Tulsa, OK 74146-3618
Phone
(918) 270-4100
Fax
(918) 270-4101
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-7800 OH
School Social Worker 1041S0200X OH1-55-0985 OH
Clinical Social Worker 1041C0700X 4625 OK Primary

Addresses

Primary practice location

9717 E 42ND St
Suite 208
Tulsa, OK 74146-3618

Mailing address

9717 E 42ND St
Ste 208
Tulsa, OK 74146-3618
Phone (918) 270-4100

Other identifiers 1

IdentifierTypeStateIssuer
4625OtherOKCLINICAL SOCIAL WORKER

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

LicenseStateTypeSpecialty
I-7800OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseliing & Counsultation Clinical Past Accepting new patients
Deerfield Township Family Counseling Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1639358476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST",
            "address_2": "STE 208",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463618",
            "telephone_number": "918-270-4100",
            "fax_number": "918-270-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST",
            "address_2": "SUITE 208",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463618",
            "telephone_number": "918-270-4100",
            "fax_number": "918-270-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "BOWLES",
        "name_prefix": "Mr.",
        "credential": "LISW,  LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-7800",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "OH1-55-0985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "4625",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.