Michelle Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021689 Issued in IL

Practice address

5105 S Harper Ave Unit 609
Chicago, IL 60615-4156

Phone

(224) 392-5703

NPI assigned

Nov 15, 2019

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willis Healthcare Inc

  • In Home Supportive Care Agency
  • Chicago, IL
  • NPI 1063157527
  NPD
• Life Endeavors Therapy PLLC

  • Community/Behavioral Health Agency
  • Naperville, IL
  • NPI 1568158715
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1851936595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 S HARPER AVE UNIT 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154156",
            "telephone_number": "224-392-5703",
            "fax_number": "630-839-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 S HARPER AVE UNIT 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154156",
            "telephone_number": "224-392-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1754 N Washington St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631462",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101237",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1448 N Milwaukee Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229225",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Brown
• Melanie Brown, LPC
• Melissa Brown, CRNA
• Michael D Brown, M.D.
• Michael Ivan Brown, LPC
• Michelle Ann Brown, M.D.
• Mildred Brown, APN
• Nancy L Brown, MD
• Nathalie-Ann C. Brown, MD
• Nyesha Lenai Brown, DO

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.