Individual provider Active NPI

Genesis Judith Brown, CSW

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1679021315
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
18134 Issued in LA
Practice address
202 General Gardner Ave
Lafayette, LA 70501-7824
Phone
(337) 232-9457
NPI assigned
Sep 12, 2016
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18134 LA Primary

Addresses

Primary practice location

202 General Gardner Ave
Lafayette, LA 70501-7824

Mailing address

9 Chesapeake PLZ
Chesapeake, OH 45619-1003

Other practice location 1

2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (407) 657-6692

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

LicenseStateTypeSpecialty
18134LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Health Services Inc CurrentSince Sep 24, 2023 Accepting new patients
Biltmore Health Services Inc CurrentSince Sep 24, 2023 Accepting new patients

Locations

202 General Gardner Ave
Lafayette, LA 70501
Phone (337) 232-9457

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1679021315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESAPEAKE PLZ",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GENERAL GARDNER AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017824",
            "telephone_number": "337-232-9457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2479 Aloma Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922541",
            "country_code": "US",
            "telephone_number": "407-657-6692",
            "fax_number": "407-894-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GENESIS",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "18134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.