Fran Brown, MSW LICSW

Individual provider Active NPI Clinical Social Worker · Newton Ctr, MA

NPI 1992767115 · NPPES record last updated Apr 24, 2015

Key facts

NPI
1992767115
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
MALC106830 (MA)
Practice address
37 Homer St
Newton Ctr, MA 02459
Phone
(617) 916-5084
Fax
(617) 969-6785
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MALC106830MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MALC106830 MA Yes

Addresses

Primary practice location

37 Homer St
Newton Ctr, MA 02459

Mailing address

37 Homer St
Newton Ctr, MA 02459
Phone (617) 916-5084

Other identifiers

IdentifierTypeStateIssuer
1859358MedicaidMA

Other providers in Newton Ctr, MA

All providers in Newton Ctr, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.