Individual provider Active NPI

Sandra Jean Brown, LGSW

  • Mental Health Counselor
  • Snow Hill, MD
National Provider Identifier
1982925863
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14606 Issued in MD
Practice address
6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone
(410) 632-1100
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14606 MD Primary

Addresses

Primary practice location

6040 Public Landing Rd
Snow Hill, MD 21863-2453

Mailing address

PO Box 1231
Salisbury, MD 21802-1231
Phone (443) 735-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110804000611 MD Practitioner - Clinical Social Worker 4385813526 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14606MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Mental Health CurrentSince Mar 1, 2018 Accepting new patients
Worcester County Health Department CurrentSince May 21, 2011 Accepting new patients
Worcester County Health Department CurrentSince May 21, 2011 Accepting new patients
Worcester County Health Department Current Accepting new patients
Safe Harbor Christian Counseling LLC PastSince Aug 7, 2016 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

9730 Healthway Dr
Berlin, MD 21811
Phone (410) 629-0164

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

2 Post Office Rd
Ste 1A
Waldorf, MD 20602

Organizations & group practices 5

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1982925863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021231",
            "telephone_number": "443-735-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "14606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

Verify at the official NPI Registry.