Individual provider Active NPI

David Nathaniel Brown, LCSW-C

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1710110655
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11906 Issued in MD
Practice address
8605 Cameron St
Suite 214
Silver Spring, MD 20910-3710
Phone
(240) 558-3794
Fax
(860) 650-5290
NPI assigned
Aug 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11906 MD Primary
Clinical Social Worker 1041C0700X 0904002763 VA
Clinical Social Worker 1041C0700X LC50078875 DC

Addresses

Primary practice location

8605 Cameron St
Suite 214
Silver Spring, MD 20910-3710

Mailing address

3309 Claridge CT
Silver Spring, MD 20902-2201
Phone (240) 558-3794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150225000405 VA Practitioner - Clinical Social Worker 4688609290 Reassigns benefits to 1 organization
Practice locations: Chester, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11418 Chester Village Dr
Chester, VA 23831-1836
Phone (804) 221-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David N. Brown, LCSW LLC Clinical CurrentSince Feb 1, 2020 Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients

Locations

4318 Old Hundred Rd
Chester, VA 23831
Phone (804) 221-5461

Organizations & group practices 2

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1710110655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CLARIDGE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022201",
            "telephone_number": "240-558-3794",
            "fax_number": "866-650-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 CAMERON ST",
            "address_2": "SUITE 214",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103710",
            "telephone_number": "240-558-3794",
            "fax_number": "860-650-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11906",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.