Jennifer Anne Brown, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006684 Issued in WA

Practice address

17220 127TH PL NE Ste 300
Woodinville, WA 98072-7965

Phone

(425) 318-0062

Fax

(360) 387-7734

NPI assigned

Sep 20, 2006

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

Opted out of Medicare

Yes, effective Dec 26, 2023 through Dec 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Berrett Psychological Services

  • Clinical Child & Adolescent Psychologist
  • Woodinville, WA
  • NPI 1134266091
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770681835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 127TH PL NE STE 300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727965",
            "telephone_number": "425-318-0062",
            "fax_number": "360-387-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 127TH PL NE STE 300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727965",
            "telephone_number": "425-318-0062",
            "fax_number": "360-387-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Robert Brazzale, MSW, LICSW
• Amy G. Breiger, PH.D.
• Linda Ann Brisk, LMP
• Beverly Alana Brown, O.D.
• Harper Lynn Brown
• Kendra Meghan Brown, DPT
• Shari Stephanie Brown, RDN
• Tori Elizabeth Brown, LSWAIC
• Cindy Bryant-Peterson, L.M.P.
• Nobu-Ann Buckley, ARNP

• Clinical Social Worker in Woodinville, WA
• Providers in Woodinville, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.