Active NPI
Maurice L.Ynn Brown, MSW, LMSW,
- Social Worker
- Ypsilanti, MI
National Provider Identifier
1740319318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801086119
- Practice address
- 133 W Michigan Ave
Ste 103
Ypsilanti, MI 48197-5550 - Phone
- (734) 680-0721
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801086119 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801086119 | MI |
Addresses
Primary practice location
133 W Michigan Ave
Ste 103
Ypsilanti, MI 48197-5550
Mailing address
133 W Michigan Ave
Ste 103
Ypsilanti, MI 48197-5550
Phone (734) 680-0721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437456696 | Other | MI | NEW HOPE CLINICAL OMMUNITY SERVICES |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801086119 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Community Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ypsilanti, MI
- NPI 1437456696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1740319318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W MICHIGAN AVE",
"address_2": "STE 103",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975550",
"telephone_number": "734-680-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W MICHIGAN AVE",
"address_2": "STE 103",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975550",
"telephone_number": "734-680-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MAURICE",
"middle_name": "L.YNN",
"name_prefix": "Mr.",
"credential": "MSW, LMSW,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801086119",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086119",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HOPE CLINICAL OMMUNITY SERVICES",
"identifier": "1437456696",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.