William Christopher Brown, LCSW

Individual provider Active NPI Clinical Social Worker · Woodbury, CT

NPI 1780247528 · NPPES record last updated Jul 11, 2022

Key facts

NPI
1780247528
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
10446 (CT)
Practice address
40 Main St N Ste 2F
Woodbury, CT 06798-2966
Phone
(860) 483-0796
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10446 CT Yes

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

Other identifiers

IdentifierTypeStateIssuer
008103980MedicaidCT

Other providers in Woodbury, CT

All providers in Woodbury, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.