Individual provider Active NPI

Dennis Brown, LCSW

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1861987380
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15247 Issued in FL
Practice address
9400 River Crossing Blvd Ste 101
New Port Richey, FL 34655-6033
Phone
(727) 203-6713
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15247 FL Primary

Addresses

Primary practice location

9400 River Crossing Blvd Ste 101
New Port Richey, FL 34655-6033

Mailing address

9400 River Crossing Blvd Ste 101
New Port Richey, FL 34655-6033
Phone (727) 203-6713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919001164 FL Practitioner - Clinical Social Worker 3870957251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9400 River Crossing Blvd
Suite 101
New Port Richey, FL 34655-6033
Phone (727) 203-6713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fellow Traveler Counseling, LLC CurrentSince Jun 22, 2023 Accepting new patients

Locations

9400 River Crossing Blvd
Ste 101
New Port Richey, FL 34655
Phone (727) 203-6713

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1861987380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 RIVER CROSSING BLVD STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346556033",
            "telephone_number": "727-203-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 RIVER CROSSING BLVD STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346556033",
            "telephone_number": "727-203-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DENNIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.