Mary K Brown Staples, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0009321-SUPV Issued in OH

Practice address

820 S MLK Jr Blvd
Hamilton, OH 45011-3216

Phone

(513) 868-5102

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

No

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 OH

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1972870210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MLK JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MLK JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216",
            "telephone_number": "513-868-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN STAPLES",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009321-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lyn Brooks
• Laura Brothers, CCC-SLP
• Victoria Broughton
• Brown and Kupper DDS Inc
• Brown Family Chiropractic, Inc.
• Alexandria Brown
• Alicia Phalon Brown, NP
• Bernadette Brown
• Byron Kirk Brown, D.C.
• Carnethia Brown

• Clinical Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.