Nicole Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8709 Issued in FL

Practice address

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Phone

(904) 394-5724

NPI assigned

Mar 5, 2020

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)

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.

• Jewish Family and Community Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1861264418
  NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1962037366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-394-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-394-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Waltz Brown, PPCNP-BC
• Monica Marie Brown, O.D.
• Moriah Brown
• Myai Brown
• Nellie A Brown
• Patrice M Brown, LMHC
• Pauline Phelan Brown, DC
• Rashad Armad Brown
• Robert Anthony Brown, PA-C
• Robert Brent Brown, PHARMD

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 12, 2022; 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.