1104953744 NPI number — MS. FRANCES WHITFIELD BROWN LCSW, BCD

Table of content: MS. FRANCES WHITFIELD BROWN LCSW, BCD (NPI 1104953744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104953744 NPI number — MS. FRANCES WHITFIELD BROWN LCSW, BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
FRANCES
Provider Middle Name:
WHITFIELD
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, BCD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104953744
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 2ND ST
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
ENCINITAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92024-3275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-942-1815
Provider Business Mailing Address Fax Number:
760-753-8220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 2ND ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
ENCINITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92024-3275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-942-1815
Provider Business Practice Location Address Fax Number:
760-753-8220
Provider Enumeration Date:
02/28/2007

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:  LCS11836 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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