Tanya Mashae Brown-Sampson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06095800 Issued in NJ

Practice address

385 Tremont Ave
East Orange, NJ 07018-1023

Phone

(973) 676-1000

NPI assigned

Oct 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1699226894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 PLATTE AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021421",
            "telephone_number": "973-474-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "973-676-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-SAMPSON",
        "first_name": "TANYA",
        "middle_name": "MASHAE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06095800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Path Wellness Center LLC
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• Brookhaven Health Care Center
• Imoni Brooks
• Tristan Brooks
• Craig A. Brown, RPA-C
• Florence Marie Brown, RN, MSN, APN,C
• Ivette Brown, ED.D
• Kristine Jennay Brown, MSW, LCSW
• Bruce Theall DPM LLC

• Social Worker in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.