Chad Joseph Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18662 Issued in MN

Practice address

4160 24TH Ave S
Ste 102
Fargo, ND 58104-9038

Phone

(701) 941-0175

Fax

(701) 941-3001

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Purpose Counseling PC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1922693308

  ND

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1710121116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 24TH AVE S",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 24TH AVE S",
            "address_2": "STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHAD",
        "middle_name": "JOSEPH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19311",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra L Brown, DO
• Amanda Jo Brown, PA-C
• Anthony N Brown, MD
• Bradley Thomas Brown, LAC
• Camille Anne Brown
• Chelsey J Brown
• Emma Brown, MSN, RN
• Erika Brown
• Gabrielle Brown
• Jamie M Brown, PA-C

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.