Individual provider Active NPI

Rosanne Yvetta Brown, LMSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1699011981
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6192 Issued in SC
Practice address
1731 Shivers Rd
444 Westmoreland Rd
Columbia, SC 29210-5413
Phone
(803) 896-2662
Fax
(803) 896-9014
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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 6192 SC Primary

Addresses

Primary practice location

1731 Shivers Rd
444 Westmoreland Rd
Columbia, SC 29210-5413

Mailing address

1731 Shivers Rd
444 Westmoreland Rd
Columbia, SC 29210-5413
Phone (803) 896-2662

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
6192SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1699011981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SHIVERS RD",
            "address_2": "444 WESTMORELAND RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105413",
            "telephone_number": "803-896-2662",
            "fax_number": "803-896-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SHIVERS RD",
            "address_2": "444 WESTMORELAND RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105413",
            "telephone_number": "803-896-2662",
            "fax_number": "803-896-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROSANNE",
        "middle_name": "YVETTA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.