1588925812 NPI number — MS. GAIL BARBARA BROWN MSW LCSW

Table of content: MS. GAIL BARBARA BROWN MSW LCSW (NPI 1588925812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588925812 NPI number — MS. GAIL BARBARA BROWN MSW LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
GAIL
Provider Middle Name:
BARBARA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN LOWE
Provider Other First Name:
GAIL
Provider Other Middle Name:
BARBARA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1588925812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4300 ALTON RD
Provider Second Line Business Mailing Address:
1 BLUM BUILDING
Provider Business Mailing Address City Name:
MIAMI BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33140-2948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-535-3407
Provider Business Mailing Address Fax Number:
305-535-3418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4300 ALTON RD
Provider Second Line Business Practice Location Address:
1 BLUM BUILDING
Provider Business Practice Location Address City Name:
MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33140-2948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-535-3407
Provider Business Practice Location Address Fax Number:
305-535-3418
Provider Enumeration Date:
06/04/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW2458 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com