Jennifer Danielle Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120134 Issued in MA

Practice address

22 Hilliard St Ste 2
Cambridge, MA 02138-4952

Phone

(617) 767-0366

Fax

(617) 917-9611

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1801248695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST STE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384952",
            "telephone_number": "617-767-0366",
            "fax_number": "617-917-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST STE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384952",
            "telephone_number": "617-767-0366",
            "fax_number": "617-917-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Elm St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021442947",
            "country_code": "US",
            "telephone_number": "617-702-9131 x709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "220030",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Lissette Brown
• Cameron Mitchell Brown, D.C.
• Douglas Raymond Brown
• Grace Brown, LCSW
• Hallie Anne Brown
• Jennifer R Brown, MD
• Kaitlyn A Brown, PT, DPT
• Martha Dickey Brown, PHD
• Richard Samuel Brown IV, DMD
• Steven I Brown, D.C.

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.