Kerene T Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007577 Issued in GA

Practice address

6045 Atlantic Blvd Ste 221
Norcross, GA 30071-1327

Phone

(404) 692-2858

Fax

(404) 777-9341

NPI assigned

Apr 27, 2021

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Keen Behavioral Solutions LLC

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1407430036
  NPD Authorized official
• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  Clinical, GA

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1932781978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HURON WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713609",
            "telephone_number": "770-608-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 ATLANTIC BLVD STE 221",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711327",
            "telephone_number": "404-692-2858",
            "fax_number": "404-777-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KERENE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenese Brock
• Darrin Samuel Bronfman, LCSW
• Dorothy Mae Brooks Thomas, LMT MMP
• Robert Keith Broome Jr., DDS
• Alexis Brown
• Latasha Shaniel Brown, LPC
• Lavonia Rochelle Brown, RBT
• Leandra Roshell Brown
• Lindsey Brown, MT-BC
• Shean Fred Brown, PHARM.D.

• Clinical Social Worker in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.