Individual provider Active NPI

Latisha Chantel Brown, MSW

  • Social Worker
  • Phoenix, AZ
National Provider Identifier
1780304030
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
400 N 32ND St
Phoenix, AZ 85008-6205
Phone
(480) 907-8957
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

400 N 32ND St
Phoenix, AZ 85008-6205

Mailing address

400 N 32ND St
Phoenix, AZ 85008-6205
Phone (480) 907-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20251105004450 AZ Practitioner - Clinical Social Worker 2961992219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11042 N 24TH Ave
Suite 102 and 103
Phoenix, AZ 85029-4777

5954 NW 88TH Ave
Tamarac, FL 33321-4293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BBS Wellness LLC CurrentSince Sep 1, 2025 Accepting new patients
The Healing Human Collective PLLC Current Accepting new patients

Locations

1818 E Southern Ave
Ste 3A
Mesa, AZ 85204
Phone (480) 242-5588

11042 N 24th Ave
Ste 102103
Phoenix, AZ 85029
Phone (623) 688-6103

11042 N 24th Ave
Ste 102
Phoenix, AZ 85029
Phone (602) 536-8003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1780304030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086205",
            "telephone_number": "480-907-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086205",
            "telephone_number": "480-907-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LATISHA",
        "middle_name": "CHANTEL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.