Individual provider Active NPI

Patrice Erica Brown, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1801440094
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009904 Issued in CT
Practice address
1440 Whalley Ave
New Haven, CT 06515-1144
Phone
(203) 389-5599
Fax
(203) 389-5904
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 009904 CT Primary

Addresses

Primary practice location

1440 Whalley Ave
New Haven, CT 06515-1144

Mailing address

1440 Whalley Ave
New Haven, CT 06515-1144
Phone (203) 389-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190830002297 CT Practitioner - Clinical Social Worker 4082943980 Reassigns benefits to 1 organization
Practice locations: Hamden, CT; New Haven, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009904CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of New Haven Inc. Clinical CurrentSince Jul 7, 2019 Accepting new patients
Jewish Family Service of New Haven Inc PastSince Jul 7, 2019 Accepting new patients
Margaliet Ligtenstein LLC Clinical PastSince Jan 21, 2022 Accepting new patients

Locations

1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/jfsnh/r4/

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1801440094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151144",
            "telephone_number": "203-389-5599",
            "fax_number": "203-389-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151144",
            "telephone_number": "203-389-5599",
            "fax_number": "203-389-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PATRICE",
        "middle_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.