Individual provider Active NPI

Sherry Pine Brown, LCSW

  • Social Worker
  • Woodland Park, NJ
National Provider Identifier
1730358425
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC 06067 Issued in NJ
Practice address
10 Lower Notch Road
Apartment 2
Woodland Park, NJ 07424-2273
Phone
(973) 951-0253
Fax
(845) 639-7098
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 SC 06067 NJ Primary

Addresses

Primary practice location

10 Lower Notch Road
Apartment 2
Woodland Park, NJ 07424-2273

Mailing address

10 Lower Notch Road
Apartment 2
Woodland Park, NJ 07424-2273
Phone (973) 951-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 06067NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1730358425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOWER NOTCH ROAD",
            "address_2": "APARTMENT 2",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242273",
            "telephone_number": "973-951-0253",
            "fax_number": "845-639-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LOWER NOTCH ROAD",
            "address_2": "APARTMENT 2",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242273",
            "telephone_number": "973-951-0253",
            "fax_number": "845-639-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHERRY",
        "middle_name": "PINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SC 06067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.