Individual provider Active NPI

Maurice L.Ynn Brown, MSW, LMSW,

  • Social Worker
  • Ypsilanti, MI
National Provider Identifier
1740319318
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801086119 Issued in MI
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

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1437456696OtherMINEW 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

LicenseStateTypeSpecialty
6801086119MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.