Individual provider Active NPI

Jacqueline Norrine Brown, LCSW

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1972037588
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
740 Westwood PLZ # 1-West
Los Angeles, CA 90095-1759
Phone
(310) 825-6110
NPI assigned
Apr 20, 2017
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X CA Primary
Clinical Social Worker 1041C0700X C8818 MS

Addresses

Primary practice location

740 Westwood PLZ # 1-West
Los Angeles, CA 90095-1759

Mailing address

1720 Keesler Cir
Suisun City, CA 94585-6325
Phone (707) 980-2803

Other practice location 1

3671 Business Dr Ste 100
Sacramento, CA 95820-2233
Phone (707) 980-2803

Other practice location 2

1520 29th Ave Ste 8
Gulfport, MS 39501-2843
Phone (707) 980-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C8818MSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1972037588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 KEESLER CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856325",
            "telephone_number": "707-980-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WESTWOOD PLZ # 1-WEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951759",
            "telephone_number": "310-825-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3671 Business Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958202233",
            "country_code": "US",
            "telephone_number": "707-980-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 29th Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012843",
            "country_code": "US",
            "telephone_number": "707-980-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "middle_name": "NORRINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.