Jenna Leigh Brown, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10878 Issued in SC

Practice address

2645A Hardee CV
Sumter, SC 29150-1893

Phone

(803) 720-9465

Fax

(803) 526-7067

NPI assigned

Feb 28, 2019

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

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling SumterGroup PAC ID 9739447301, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Sumter

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1073987210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1801353537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARATOGA ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504117",
            "telephone_number": "803-464-4416",
            "fax_number": "803-526-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645A HARDEE CV",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501893",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Anthony Brown
• Dei'Nyejah Brown
• Diana Dorothy Brown, LMSW
• Earnest Brown
• Jazmine Katrice Brown, APRN
• Pamela Brown
• Christina H Brownlow, OTR/L
• Rick Floyd Brownlow, PTA
• Kassidy M Bruey, DPT, PT
• Diana M Brunson, LMT

• Clinical Social Worker in Sumter, SC
• Providers in Sumter, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.