Mary Louise Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-33432 Issued in ID

Practice address

3770 E Black Canyon Hwy
Emmett, ID 83617-9503

Phone

(208) 365-3437

Fax

(208) 365-7235

NPI assigned

Nov 7, 2022

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 ID

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hale Counseling LLCGroup PAC ID 7719330323, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hale Counseling LLC

  dba Ryan Hale Counseling

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1811650468
  Medicare reassignment Care Compare group NPD
• A New Leaf, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Meridian, ID
  • NPI 1114063344
  NPD (past)
• Cherry Gulch

  • Psychiatric Residential Treatment Facility
  • Emmett, ID
  • NPI 1417199456
  NPD (past)

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1972211225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MEADOW DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173782",
            "telephone_number": "208-859-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 E BLACK CANYON HWY",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179503",
            "telephone_number": "208-365-3437",
            "fax_number": "208-365-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-33432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reece Arthur Bodam
• Kahn Borge, LMSW
• Ted Roby Bost III, LPC
• Andrea Bowhay
• Latisha Bowman, LPC
• April Browne, LCSW CADC
• Cammi Burton, CCC-SLP
• Cahoone Investigations, LLC
• Olivia Marie Ceballos, PHARMD
• Michael Ray Cerchione

• Clinical Social Worker in Emmett, ID
• Providers in Emmett, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.