Individual
MR. STEVEN PHILLIP BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP, DCSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC LIC#1904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821091737
NATIONAL PROVIDER IDENTIFICATION NUMBER 1821091737
SC
01
—
Q271239626
MEDICARE INDIVIDUAL PTAN
SC
Enumeration date
05/24/2005
Last updated
09/14/2013
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