Christopher Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60986160 Issued in WA

Practice address

3150 Orleans St Unit 28001
Bellingham, WA 98228-9002

Phone

(360) 583-4411

NPI assigned

Nov 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Peak Psychotherapy PLLC

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1831925494
  NPD Authorized official

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1821706847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ORLEANS ST UNIT 28001",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982289002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ORLEANS ST UNIT 28001",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982289002",
            "telephone_number": "360-583-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTOPHER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60986160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "3150 Orleans St Unit 28001",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982289002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Broselle, CPO
• Julie Ann Brovak, CCC-SLP
• Brown & Cole Stores LLC
• Alexander B Brown
• Carter Brown, DC
• Eileen Brown
• Eva A Brown, LMT
• Joel Patrick Brown, LMT
• Kathryn Lynn Brown, RN
• Leslie Allison Brown, L.M.T., B.A.

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.