Active NPI
Patricia J Brown, MSW
- Clinical Social Worker
- McMinnville, OR
National Provider Identifier
1679616197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4151
- Practice address
- 1027 NE 3Rd St
McMinnville, OR 97128-4417 - Phone
- (503) 472-2985
- Fax
- (503) 876-7693
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00-07-03 | OR | |
| Clinical Social Worker | 1041C0700X | 4151 | OR | Primary |
Addresses
Primary practice location
1027 NE 3Rd St
McMinnville, OR 97128-4417
Mailing address
PO Box 87
McMinnville, OR 97128-0087
Phone (503) 472-2985
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4151 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1679616197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971280087",
"telephone_number": "503-472-2985",
"fax_number": "503-876-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 NE 3RD ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284417",
"telephone_number": "503-472-2985",
"fax_number": "503-876-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "00-07-03",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.