Individual provider Active NPI

Lisa Marie Stewart-Brown, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1750543229
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18077 Issued in CA
Practice address
5100 Marlborough Dr
San Diego, CA 92116-2020
Phone
(619) 823-8026
Fax
(619) 741-7262
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 18077 CA Primary

Addresses

Primary practice location

5100 Marlborough Dr
San Diego, CA 92116-2020

Mailing address

7710 Hazard Center Dr Ste E519
San Diego, CA 92108-4550
Phone (619) 823-8026

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
LCS 18077CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1750543229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 HAZARD CENTER DR STE E519",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084550",
            "telephone_number": "619-823-8026",
            "fax_number": "619-741-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-823-8026",
            "fax_number": "619-741-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-BROWN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.