Whitney T Brown, LCSW
Individual provider Active NPI Clinical Social Worker · Lebanon, IN
NPI 1861650798 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1861650798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34006940A (IN)
- Practice address
- 1614 N Lebanon St Ste 2
Lebanon, IN 46052-1514 - Phone
- (765) 680-0071
- Fax
- (765) 680-0468
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
146 Hayden Hill Rd
Torrington, CT 06790-2308
35 Thorpe Ave
Suite 104
Wallingford, CT 06492-1943
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IN, KY, OH
- 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 |
|---|---|---|---|---|
| I20140416001049 | IN | Practitioner - Clinical Social Worker | 8426280926 | Reassigns benefits to 2 organizations |
| I20260227003582 | KY | Practitioner - Clinical Social Worker | 8426280926 | Reassigns benefits to 1 organization |
| I20260304000160 | OH | Practitioner - Clinical Social Worker | 8426280926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006940A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Recovery Care of Ohio,Inc. | Current |
Accepting new patients | |
| Aware Recovery Care of Kentucky LLC | Current |
Accepting new patients | |
| Aware Recovery Care of Indiana, LLC | Current |
Accepting new patients |
Locations
6505 E 82nd St
Ste 120
Indianapolis, IN 46250
Phone (317) 779-0310
7400 New La Grange Rd
Ste 250
Louisville, KY 40222
Phone (502) 907-2290
6161 Oak Tree Blvd
Ste 130
Independence, OH 44131
Phone (216) 200-4415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 34006940A | IN | Yes |
Addresses
Primary practice location
1614 N Lebanon St Ste 2
Lebanon, IN 46052-1514
Mailing address
2580 S County Road 800 E
Plainfield, IN 46168-8586
Phone (317) 313-6963
Other providers in Lebanon, IN
- Erin Brooks
- Stephanie Renee Brooks
- Emjae Brown
- Gwendolyn J Brown
- Patricia Brown
- Valerie Susan Bruemmer
- Robin M Bruner
- Heather Bruno
- Buckeye Senior Rehab LLC
- Chelsea Budd
All providers in Lebanon, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2014. 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.