David N. Brown, Lcsw Llc | |
4318 Old Hundred Rd Chester VA 23831-4231 | |
(804) 221-5461 | |
Not Available |
Full Name | David N. Brown, Lcsw Llc |
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Speciality | Social Worker |
Location | 4318 Old Hundred Rd, Chester, Virginia |
Authorized Official Name and Position | David Nathaniel Brown (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8042215461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David N. Brown, Lcsw Llc 13805 Thornhill Ct Chester VA 23836-5774 Ph: (804) 221-5461 | David N. Brown, Lcsw Llc 4318 Old Hundred Rd Chester VA 23831-4231 Ph: (804) 221-5461 |
NPI Number | 1447641709 |
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Provider Enumeration Date | 02/09/2015 |
Last Update Date | 02/09/2015 |
Medicare PECOS PAC ID | 0749610947 |
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Medicare Enrollment ID | O20200429003120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447641709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904002763 (Virginia) | Primary |
Provider Name | David Nathaniel Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710110655 PECOS PAC ID: 4688609290 Enrollment ID: I20150225000405 |
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