Blayre Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09930280 Issued in CO

Practice address

2205 Cordillera Way
Edwards, CO 81632-6290

Phone

(970) 693-0015

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1881446771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 GARMISCH DR APT 3",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574262",
            "telephone_number": "504-450-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CORDILLERA WAY",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326290",
            "telephone_number": "970-693-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BLAYRE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bossola, PT
• Tracey Lynn Branch, LCSW
• Scott A Brandt, MD
• Ernest Earl Braxton Jr., M.D.
• Paige Leigh Baker Braxton, PSYD
• Brigitte Brown, LMT
• Katherine Brown, DPT, PT
• Kerry Brown, PA-C
• Mark Ryan Brownson, M.D.
• Bsig RX LLC (Vail Valley Pharmacy)

• Clinical Social Worker in Edwards, CO
• Providers in Edwards, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.