Active NPI
Dejuan Brown, LCSW
- Social Worker
- Louisville, KY
National Provider Identifier
1821386129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4010 Dupont Cir Ste 379
Louisville, KY 40207-4838 - Phone
- (502) 813-8280
- Fax
- (502) 813-8281
- NPI assigned
- Jul 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 252878 | KY | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 379
Louisville, KY 40207-4838
Mailing address
1102 Poplar Level PLZ Apt 7
Louisville, KY 40217-1326
Phone (859) 230-9566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252878 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1821386129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 POPLAR LEVEL PLZ APT 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171326",
"telephone_number": "859-230-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 379",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074838",
"telephone_number": "502-813-8280",
"fax_number": "502-813-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEJUAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-20",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252878",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.