Individual provider Active NPI

Tikki Brown

  • Clinical Social Worker
  • Lithonia, GA
National Provider Identifier
1972959716
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003727 Issued in GA
Practice address
6958 Timbers East LN
Lithonia, GA 30058-6074
Phone
(770) 912-6347
Fax
(770) 742-0862
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003727 GA Primary

Addresses

Primary practice location

6958 Timbers East LN
Lithonia, GA 30058-6074

Mailing address

6958 Timbers East LN
Lithonia, GA 30058-6074
Phone (770) 912-6347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180702002672 GA Practitioner - Clinical Social Worker 2466708623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nak Union, IncGroup PAC ID 2769602861, 3 clinicians

Practice addresses (Care Compare)

5530 Old National Hwy
Building C Suite B
College Park, GA 30349
Phone (678) 591-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nak Union, Inc CurrentSince Jul 2, 2017 Accepting new patients

Locations

5530 Old National Hwy
Ste C
College Park, GA 30349
Phone (678) 466-6511

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1972959716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 TIMBERS EAST LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586074",
            "telephone_number": "770-912-6347",
            "fax_number": "770-742-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 TIMBERS EAST LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586074",
            "telephone_number": "770-912-6347",
            "fax_number": "770-742-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.