Glenda Carol Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60515696 Issued in WA

Practice address

14011 197TH Ave E
Bonney Lake, WA 98391-5236

Phone

(206) 355-8114

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1750095196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7541",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983910925",
            "telephone_number": "206-355-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 197TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915236",
            "telephone_number": "206-355-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GLENDA",
        "middle_name": "CAROL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60515696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Bowers, LMP
• Carolina M Breed, PA-C
• Alyssa Breuer
• Alex P Brewer, LMP
• Brian H. Cheung, DDS, MD, PLLC
• Jacob Robert Lynn Brubaker, C.P.O.
• Nicole Michelle Bulldis-Frost, L.M.P.
• Suzanne C. Burgoyne, LMFT
• Lauren Burns
• Erin Butcher

• Clinical Social Worker in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.