Individual provider Active NPI

Elizabeth Ann Brown, LCSW

  • Clinical Social Worker
  • Berwyn, PA
National Provider Identifier
1962644104
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017402 Issued in PA
Practice address
6 Porteous Rd
Berwyn, PA 19312-1275
Phone
(610) 644-5437
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW126844 PA
Clinical Social Worker 1041C0700X CW017402 PA Primary

Addresses

Primary practice location

6 Porteous Rd
Berwyn, PA 19312-1275

Mailing address

6 Porteous Rd
Berwyn, PA 19312-1275
Phone (610) 644-5437

Other names 1

  • Elizabeth Ann Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211228000882 PA Practitioner - Clinical Social Worker 2769873835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Porteous Rd
Berwyn, PA 19312-1275
Phone (610) 644-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW126844PAMDMental Health Counselor
CW017402PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Family Counseling, LLC Clinical CurrentSince Sep 11, 2021 Accepting new patients
Hart/Ross Associates PastSince May 3, 2020 Accepting new patients

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1962644104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PORTEOUS RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121275",
            "telephone_number": "610-644-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PORTEOUS RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121275",
            "telephone_number": "610-644-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW126844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BROWN",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.