Individual provider Active NPI

Teresa Jean Brown, LCSW

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1962159582
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22125 Issued in FL
Practice address
1414 W Granada Blvd Ste 2
Ormond Beach, FL 32174-8104
Phone
(386) 451-2346
Fax
(386) 204-3066
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22125 FL Primary

Addresses

Primary practice location

1414 W Granada Blvd Ste 2
Ormond Beach, FL 32174-8104

Mailing address

1414 W Granada Blvd Ste 2
Ormond Beach, FL 32174-8104
Phone (386) 944-9813

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231025002566 FL Practitioner - Clinical Social Worker 6103195433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Health and Managed Pain LLCGroup PAC ID 2668749490, 3 clinicians

Practice addresses (Care Compare)

1414 W Granada Blvd
Suite 2
Ormond Beach, FL 32174-8104
Phone (386) 944-9813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22125FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Health and Managed Pain LLC Clinical CurrentSince Feb 20, 2017 Accepting new patients
Navigating Today LLC Clinical Current Accepting new patients

Locations

570 Memorial Cir
Ste 200
Ormond Beach, FL 32174
Phone (386) 451-2346

1414 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 451-2346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1962159582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-944-9813",
            "fax_number": "386-317-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-451-2346",
            "fax_number": "386-204-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "22125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.