Individual provider Active NPI

Sherry N Brown, LCSW

  • Social Worker
  • Cullman, AL
National Provider Identifier
1699865659
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1890C Issued in AL
Practice address
1528 Peachtree LN NW
Suite 104
Cullman, AL 35058-0457
Phone
(256) 385-2539
Fax
(256) 775-4347
NPI assigned
Oct 13, 2006
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 1890C AL Primary

Addresses

Primary practice location

1528 Peachtree LN NW
Suite 104
Cullman, AL 35058-0457

Mailing address

1528 Peachtree LN NW
Ste 104
Cullman, AL 35058-0422
Phone (256) 735-8152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000333 AL Practitioner - Clinical Social Worker 9931131760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Counseling Services, LLCGroup PAC ID 2466861901, 4 clinicians

Practice addresses (Care Compare)

2014 2ND Ave NW
Cullman, AL 35058-0464
Phone (256) 735-8152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1890CALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling Services, LLC CurrentSince Feb 2, 2021 Accepting new patients

Locations

1528 Peachtree Ln NW
Ste 104
Cullman, AL 35058
Phone (256) 385-2539

2014 2nd Ave NW
Cullman, AL 35058
Phone (256) 735-8152

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, 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1699865659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 PEACHTREE LN NW",
            "address_2": "STE 104",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580422",
            "telephone_number": "256-735-8152",
            "fax_number": "888-255-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 PEACHTREE LN NW",
            "address_2": "SUITE 104",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580457",
            "telephone_number": "256-385-2539",
            "fax_number": "256-775-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHERRY",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "1890C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.