Nicole Marie Brown, LCSW
Individual provider Active NPI Social Worker · Minot, ND
NPI 1831459908 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1831459908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4300 (ND)
- Practice address
- 1425 21St Ave NW
Minot, ND 58703-0816 - Phone
- (701) 839-8887
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sas Holdings, LLC
Practice addresses (Care Compare)
1000 20TH Ave SW
Suite a
Minot, ND 58701-6447
Phone (701) 347-1713
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260227003077 | ND | Practitioner - Clinical Social Worker | 3870074743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4300 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sas Holdings, LLC | Clinical | Current |
Accepting new patients |
Locations
1000 20th Ave SW
#A
Minot, ND 58701
Phone (701) 347-1713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 4300 | ND | Yes |
Addresses
Primary practice location
1425 21St Ave NW
Minot, ND 58703-0816
Mailing address
1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone (701) 280-9545
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.