Individual provider Active NPI

Katherine Elizabeth Brown, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1679059109
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110733 Issued in CA
Practice address
1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903
Phone
(559) 712-8505
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110733 CA Primary

Addresses

Primary practice location

1300 E Shaw Ave Ste 109
Fresno, CA 93710-7903

Mailing address

PO Box 3244
Merced, CA 95344-1244
Phone (209) 761-0729

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
110733CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Mind Above, a Professional Psychology Corporation CurrentSince Jul 1, 2022 Accepting new patients

Locations

1300 E Shaw Ave
Ste 109
Fresno, CA 93710
Phone (559) 712-8800

1300 E Shaw Ave
Ste 171
Fresno, CA 93710
Phone (559) 313-1398

Organizations & group practices 1

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1679059109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3244",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953441244",
            "telephone_number": "209-761-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-712-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.