Jen Malcolm-Brown, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JEN MALCOLM-BROWN, PLLC

Practice address

110 N Hillside Rd Ste 21
South Deerfield, MA 01373-9727

Phone

(413) 450-0001

Fax

(413) 450-0009

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer E Malcolm-Brown, LICSWNPI 1629216429

Title

Manager/Owner

Phone

(413) 450-0001

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer E Malcolm-Brown, LICSW

  • Clinical Social Worker
  • Worcester, MA
  • NPI 1629216429
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1902684418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WENDELL RD",
            "city": "SHUTESBURY",
            "state": "MA",
            "postal_code": "010729716",
            "telephone_number": "413-450-0001",
            "fax_number": "413-450-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 21",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-450-0001",
            "fax_number": "413-450-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN MALCOLM-BROWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MALCOLM-BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "413-450-0001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Greene
• Amber Celeste Hickerson, MSHS
• Renee M. Hill
• Kathryn Hoffman
• Jacqueline M Humphreys, LICSW
• Justine Karanian, D.M.D.
• Jessica King, LMHC
• John Laurence Kolodin, MSW LICSW
• Alice Kraiza
• Barbara E. Krolick, RD, LDN

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Deerfield, MA
• Providers in South Deerfield, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.