Beverly Brown, LAPSW
Individual provider Active NPI Social Worker · Piperton, TN
NPI 1720007388 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1720007388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ASW128 (TN)
- Practice address
- 1940 Highway 196 S
Piperton, TN 38017-5726 - Phone
- (901) 674-9726
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW128 | TN | MD | Social Worker |
| CSW4357 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW128 | TN | |
| Social Worker | 104100000X | CSW4357 | TN | |
| Social Worker | 104100000X | ASW128 | TN | Yes |
Addresses
Primary practice location
1940 Highway 196 S
Piperton, TN 38017-5726
Mailing address
405 Critton Dr
Piperton, TN 38017-5373
Phone (901) 674-9726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW0000004357 | Other | TN | STATE LIC |
Other providers in Piperton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.