1518087816 NPI number — MRS. JANET ELIZABETH BROWN LCSWC MSW

Table of content: KRISTIN MAGOTCH LPC, NCC, M.ED (NPI 1255923439)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518087816 NPI number — MRS. JANET ELIZABETH BROWN LCSWC MSW

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
BROWN

Provider First Name:
JANET

Provider Middle Name:
ELIZABETH

Provider Name Prefix Text:
MRS.

Provider Name Suffix Text:

Provider Credential Text:
LCSWC MSW

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
BROWN

Provider Other First Name:
JANET

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:
LCSWC

Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1518087816

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
03/11/2014

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 MILFORD STREET

Provider Second Line Business Mailing Address:
SUITE 501-B

Provider Business Mailing Address City Name:
SALISBURY

Provider Business Mailing Address State Name:
MD

Provider Business Mailing Address Postal Code:
21804

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
410-749-7477

Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 MILFORD STREET

Provider Second Line Business Practice Location Address:
SUITE 501-B

Provider Business Practice Location Address City Name:
SALISBURY

Provider Business Practice Location Address State Name:
MD

Provider Business Practice Location Address Postal Code:
21804

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
410-546-1692

Provider Business Practice Location Address Fax Number:
410-548-9056

Provider Enumeration Date:
03/30/2007

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: 104100000X , with the licence number: 10864 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Taxonomy code: 106H00000X , with the licence number: 10864 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .