Claire L Brown LCSW PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.002685 Issued in IL

Legal business name

CLAIRE L BROWN LCSW PC

Practice address

350 E Congress Pkwy
Suite L
Crystal Lake, IL 60014-6284

Phone

(815) 477-4024

Fax

(815) 356-7139

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Claire Loiuse Brown, LCSW

Title

Therapist

Phone

(815) 477-4024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clara Louise Brown, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1366535064
  Medicare reassignment NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1811445679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E. CONGRESS",
            "address_2": "SUITE L",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146284",
            "telephone_number": "815-477-4024",
            "fax_number": "815-356-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E CONGRESS PKWY",
            "address_2": "SUITE L",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146284",
            "telephone_number": "815-477-4024",
            "fax_number": "815-356-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE L BROWN LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "LOIUSE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "815-477-4024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.002685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ciero, M.S.SLP,CCC-L
• Katelyn P Ciszon, SLP/L
• City of Crystal Lake
• CL Pharmacy LLC
• CL-Surgi Center, SC
• Joan Kay Clark
• Makayla Marie Clauss, PTA
• Clay Pot Counseling, Inc.
• Clear Psychiatric Services
• Clearbrook CMHC

• Community/Behavioral Health Agency in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.