Rico Eugene Brown, L.C.S.W
Individual provider Active NPI Clinical Social Worker · Blythewood, SC
NPI 1972863967 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1972863967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 58.009695 (CT)
- Practice address
- 337 Coatbridge Dr
Blythewood, SC 29016-9694 - Phone
- (704) 638-9000
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.009695 | CT | MD | Clinical Social Worker |
| C010755 | NC | MD | Clinical Social Worker |
| 66449 | TX | MD | Clinical Social Worker |
| 12689 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remotivate You Counseling and Consulting, LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 66449 | TX | |
| Clinical Social Worker | 1041C0700X | 12689 | SC | |
| Clinical Social Worker | 1041C0700X | C010755 | NC | |
| Clinical Social Worker | 1041C0700X | 58.009695 | CT | Yes |
Addresses
Primary practice location
337 Coatbridge Dr
Blythewood, SC 29016-9694
Mailing address
337 Coatbriedge Dr
Blythewood, SC 29016
Phone (803) 574-2777
Other providers in Blythewood, SC
- Edward Demond Bracey
- Lisa Lynette Brailey
- Brice'S Transportation LLC
- Josie Gandy Drew Britt
- Donald S Brown
- Sabrina F Brown
- Terri Brown
- Lacresha Brumfield
- Robert William Buchanan
- Tammra Buchanan
All providers in Blythewood, SC · Clinical Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.