Jeremy Wade Brown

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4332 Millbrook Ave Apt 1
New Boston, OH 45662-5560

Phone

(740) 935-2447

NPI assigned

Jul 18, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  NPD (past)
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1952734469
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1740028190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 MILLBROOK AVE APT 1",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625560",
            "telephone_number": "740-935-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 MILLBROOK AVE APT 1",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625560",
            "telephone_number": "740-935-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Bath Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012696",
            "country_code": "US",
            "telephone_number": "606-329-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E State St Ste D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011870",
            "country_code": "US",
            "telephone_number": "740-249-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEREMY",
        "middle_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Eric Blair
• Joshua Paul Blevins Sr., CCTEMT-P
• Stephanie Ann Bowman
• David Wayne Brickey
• Bridgeworks Counseling and Consulting Inc
• Tosha Marie Caldwell, LPN
• Johnda Cantrell
• Carehere LLC (CareHere Clinic- Scioto Advantage)
• Christopher Carper
• John Scott Carver, PHARMD

• Social Worker in New Boston, OH
• Providers in New Boston, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.