Individual provider Active NPI

William Christopher Brown, LCSW

  • Clinical Social Worker
  • Woodbury, CT
National Provider Identifier
1780247528
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10446 Issued in CT
Practice address
40 Main St N Ste 2F
Woodbury, CT 06798-2966
Phone
(860) 483-0796
NPI assigned
Apr 17, 2019
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 10446 CT Primary

Addresses

Primary practice location

40 Main St N Ste 2F
Woodbury, CT 06798-2966

Mailing address

405 Main St
Danbury, CT 06810-4710
Phone (203) 743-4412

Other practice location 1

405 Main St
Danbury, CT 06810-4710
Phone (203) 743-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408002093 CT Practitioner - Clinical Social Worker 4880023191 Reassigns benefits to 1 organization
Practice locations: Woodbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Main St N
Suite 2F
Woodbury, CT 06798-2966
Phone (860) 483-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10446CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County Inc CurrentSince Jun 11, 2023 Accepting new patients
William Christopher Brown Clinical CurrentSince Oct 16, 2022 Accepting new patients
Maria Guglielmino, Psy.D., LLC CurrentSince Nov 16, 2021 Accepting new patients

Locations

405 Main St
Danbury, CT 06810
Phone (203) 416-1503

120 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 750-9711

40 Main St N
Ste 2F
Woodbury, CT 06798
Phone (203) 266-9253

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1780247528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-743-4412",
            "fax_number": "203-738-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST N STE 2F",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982966",
            "telephone_number": "860-483-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Main St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068104710",
            "country_code": "US",
            "telephone_number": "203-743-4412",
            "fax_number": "203-738-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

Verify at the official NPI Registry.