Kerry Ann Brown-Faison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14486 Issued in FL

Practice address

1164 E Oakland Park Blvd FL 3
Oakland Park, FL 33334

Phone

(954) 561-6900

Fax

(954) 568-7021

NPI assigned

May 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blue Moon Senior Counseling

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1205129186

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1891143970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 NW 78TH CT",
            "address_2": "APT 293",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 E OAKLAND PARK BLVD FL 3",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-561-6900",
            "fax_number": "954-568-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-FAISON",
        "first_name": "KERRY ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SW14486",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea S. Brooks, M.A., CCC/A
• Broward County Elderly and Veterans Services Division
• Broward Physical Medicine (South Florida Spine and Rehab Centers)
• Broward Rehab Center, Inc.
• Tanisha Brown McAlister, APRN
• Barbara Viola Brown, RPT
• Jermaine Brown
• Sharon Renea Brown, BPA, TCM
• Stephanie Carol Jones Brown, ARNP
• Sabrina Ann Bruno, COTA/L

• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.