Active NPI
Teresa Nicole Brown, LCSW
- Clinical Social Worker
- Smithville, MS
National Provider Identifier
1649361973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 60021 Monroe St
Smithville, MS 38870-7779 - Phone
- (662) 651-4637
- NPI assigned
- Sep 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M3717 | MS | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
60021 Monroe St
Smithville, MS 38870-7779
Mailing address
PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637
Other practice location 1
Region III Mental Health Center
2434 South Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 844-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111209000672 | MS | Practitioner - Clinical Social Worker | 4789859315 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Family Health Services, Inc.
Practice addresses (Care Compare)
60021 Monroe St
Smithville, MS 38870-7779
Phone 66265146372008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3717 | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current | Accepting new patients |
Locations
106 Walker St
Houlka, MS 38850
Phone (662) 568-3316
60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637
Interoperability endpoints
- teresa.brown.1@14756.direct.athenahealth.com
Organizations & group practices 17
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.
-
- Federally Qualified Health Center (FQHC)
- Nettleton, MS
- NPI 1033755343
-
- Federally Qualified Health Center (FQHC)
- Amory, MS
- NPI 1073005450
-
- Federally Qualified Health Center (FQHC)
- Tupelo, MS
- NPI 1194991976
-
- Federally Qualified Health Center (FQHC)
- Nettleton, MS
- NPI 1265963623
-
- Federally Qualified Health Center (FQHC)
- Okolona, MS
- NPI 1306338587
-
- Federally Qualified Health Center (FQHC)
- Pontotoc, MS
- NPI 1366004657
-
- Community/Retail Pharmacy
- Smithville, MS
- NPI 1376921569
-
- Federally Qualified Health Center (FQHC)
- Pontotoc, MS
- NPI 1386136752
-
- Community Health Clinic/Center
- Houlka, MS
- NPI 1457461527
-
- Federally Qualified Health Center (FQHC)
- Hamilton, MS
- NPI 1538651914
-
- Federally Qualified Health Center (FQHC)
- Tremont, MS
- NPI 1558929018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1649361973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "SMITHVILLE",
"state": "MS",
"postal_code": "388700305",
"telephone_number": "662-651-4637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60021 MONROE ST",
"city": "SMITHVILLE",
"state": "MS",
"postal_code": "388707779",
"telephone_number": "662-651-4637"
}
],
"practiceLocations": [
{
"address_1": "Region III Mental Health Center",
"address_2": "2434 South Eason Blvd",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388046942",
"country_code": "US",
"telephone_number": "662-844-1717",
"fax_number": "662-680-6416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TERESA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "M3717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, MS
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Melissa K Beach, LCSW
- Mari Caitlyne Blaylock, FNP-C
- Rebecca Cagle, A.P.R.N., B.C.
- Sherbert V Canada-Mosby, M.S.W.
- Whitney Johnson Carroll, FNP-BC
- Joby Davis Collins, D.M.D.
- Nicholas Allen Cummings, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.