Individual provider Active NPI

Elizabeth Tobin Brown, LCSW

  • Clinical Social Worker
  • Stonington, CT
National Provider Identifier
1831267442
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006255 Issued in CT
Practice address
107 Wilcox Rd Ste 108
Stonington, CT 06378-2614
Phone
(860) 536-1333
Fax
(860) 535-0875
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R042428-1 NY
Clinical Social Worker 1041C0700X 006255 CT Primary

Addresses

Primary practice location

107 Wilcox Rd Ste 108
Stonington, CT 06378-2614

Mailing address

107 Wilcox Rd Ste 108
Stonington, CT 06378-2614
Phone (860) 536-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20080605000711 CT Practitioner - Clinical Social Worker 0143390963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Wilcox Rd
Suite 108
Stonington, CT 06378-2614
Phone (860) 536-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042428-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Tobin Brown, LCSW, LLC Clinical CurrentSince Jan 10, 2010 Accepting new patients

Locations

107 Wilcox Rd
Ste 108
Stonington, CT 06378
Phone (860) 536-1333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1831267442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WILCOX RD STE 108",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782614",
            "telephone_number": "860-536-1333",
            "fax_number": "860-535-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WILCOX RD STE 108",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782614",
            "telephone_number": "860-536-1333",
            "fax_number": "860-535-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "TOBIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042428-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonington, CT

Sources for this page

Verify at the official NPI Registry.