Organization Active NPI

Laurel V. Brown, LLC

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1831324581
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2899 Issued in FL
Legal business name
LAUREL V. BROWN, LLC
Practice address
1881 NE 26TH St
Suite 102
Wilton Manors, FL 33305-1416
Phone
(954) 495-8490
Fax
(954) 495-8592
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Ms. Laurel Brown
Title
Managing Member
Phone
(561) 447-9679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2899 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Suite 102
Wilton Manors, FL 33305-1416

Mailing address

672 SW 4TH St
Boca Raton, FL 33486-4610
Phone (561) 447-9679

Other identifiers 1

IdentifierTypeStateIssuer
Z4761ZOtherMEDICARE PROVIDER NO.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1831324581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 SW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334864610",
            "telephone_number": "561-447-9679",
            "fax_number": "561-447-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 102",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-495-8490",
            "fax_number": "954-495-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL V. BROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-447-9679",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NO.",
            "identifier": "Z4761Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.