Active NPI
Amy Elizabeth Brown, MSW, LCSW
- Clinical Social Worker
- Ballwin, MO
National Provider Identifier
1831512086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005029177
- Practice address
- 301 Sovereign CT
Suite 211
Ballwin, MO 63011-4441 - Phone
- (636) 697-5892
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2005029177 | MO | Primary |
Addresses
Primary practice location
301 Sovereign CT
Suite 211
Ballwin, MO 63011-4441
Mailing address
301 Sovereign CT
Suite 211
Ballwin, MO 63011-4441
Phone (636) 697-5892
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005029177 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1831512086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SOVEREIGN CT",
"address_2": "SUITE 211",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114441",
"telephone_number": "636-697-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SOVEREIGN CT",
"address_2": "SUITE 211",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114441",
"telephone_number": "636-697-5892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005029177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.