Individual provider Active NPI

Laura Brown, LCSW

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1992547459
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011201A Issued in IN
Practice address
1236 N Wabash Ave
Kokomo, IN 46901-2604
Phone
(765) 450-4928
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 34011201A IN Primary

Addresses

Primary practice location

1236 N Wabash Ave
Kokomo, IN 46901-2604

Mailing address

1236 N Wabash Ave
Kokomo, IN 46901-2604
Phone (765) 450-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240615000414 IN Practitioner - Clinical Social Worker 0042753212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Recovery Kokomo LLC 2 clinicians

Practice addresses (Care Compare)

302 S Reed Rd
Kokomo, IN 46901-4900
Phone (765) 780-7689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Life Health Network CurrentSince May 30, 2024 Accepting new patients
Hope Recovery Kokomo, LLC CurrentSince May 30, 2024 Accepting new patients
Hope Recovery Kokomo, LLC CurrentSince May 30, 2024 Accepting new patients

Locations

302 S Reed Rd
Kokomo, IN 46901
Phone (765) 450-4928

Organizations & group practices 3

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1992547459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N WABASH AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469012604",
            "telephone_number": "765-450-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N WABASH AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469012604",
            "telephone_number": "765-450-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.