Individual
MARTHA K. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 JOHN ST, EVANSVILLE, IN 47713-2733
(812) 492-8330
(812) 492-8333
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4232
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002958A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000859951
ANTHEM
IN
01
—
11489726
CAQH
IN
01
—
153874
SIHO
IN
01
—
839090005
MEDICARE
IN
Enumeration date
04/23/2008
Last updated
01/12/2022
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