Crystalene Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 4249 Issued in FL

Practice address

1010 E Adams St
Suite 136
Jacksonville, FL 32202-1902

Phone

(904) 351-6730

Fax

(888) 857-4194

NPI assigned

Apr 19, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1811287295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 136",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-351-6730",
            "fax_number": "888-857-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 136",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-351-6730",
            "fax_number": "888-857-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CRYSTALENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Brown, OTR/L
• Cora Brown
• Courtney M Brown
• Craig Howard Brown, LMHC, LMFT
• Crystal Monique Brown
• Dana Brown, PT, DPT
• Danisha Brown
• Dara Brown
• David S Brown, PT
• Dayan Brown

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.