Derric Brown LCSW, Licensed Clinical Social Worker Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DERRIC BROWN LCSW, LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

5588 N Palm Ave
Fresno, CA 93704-1913

Phone

(559) 214-7774

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Derric Devon Brown Sr., LCSWNPI 1962945063

Title

President

Phone

(559) 214-7774

Specialties & licenses 1

Addresses

Other names 1

• Streams of Hope Behavioral Health Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derric Devon Brown Sr.

  • Social Worker
  • Clovis, CA
  • NPI 1962945063
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1851925507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5588 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041913",
            "telephone_number": "559-214-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5588 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041913",
            "telephone_number": "559-214-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRIC BROWN LCSW, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DERRIC",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-214-7774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streams of Hope Behavioral Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Derhovanesian, DO
• Adam Hicham Derkouch, PHARMD
• Wilfred Derksen, MD
• Pamela L Deroian, PHD
• Mark Derr
• Alessandra Gose Desabelle, DDS
• Jason Michael Desadier, D.O.
• Angela Desai, N.P.
• Hardik K Desai, PHARM D
• Mansee Pragnesh Desai, MD

• Adult Mental Health Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.