Constance Ruth Brown, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2022027122 Issued in MO

Practice address

219 W Commercial St Ste 104
Springfield, MO 65803-2622

Phone

(417) 812-6199

NPI assigned

Jul 26, 2022

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1912633561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S MORELAND CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W COMMERCIAL ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032622",
            "telephone_number": "417-812-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CONSTANCE",
        "middle_name": "RUTH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2022027122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490112940",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONSAL NPI",
            "identifier": "1912633561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Brown
• Bary M Brown, O.D.
• Brad Wesley Brown, FNP
• Chelsea Runez Brown
• Christopher Michael Myron Brown
• Daisy Alexis Brown
• Darci R Brown, NURSE PRACTITIONER
• David Brown, SMFT
• David Chamberlain Brown, OTR/L
• David William Brown, M.D.

• Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.