| Debra A Brown Lcsw Inc | |
|
3142 Islawild Way The Villages FL 32163-2313 | |
| (315) 382-1305 | |
| Not Available |
| Full Name | Debra A Brown Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3142 Islawild Way, The Villages, Florida |
| Authorized Official Name and Position | Debra A Brown (OWNER) |
| Authorized Official Contact | 3153821305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra A Brown Lcsw Inc 3142 Islawild Way The Villages FL 32163-2313 Ph: () - | Debra A Brown Lcsw Inc 3142 Islawild Way The Villages FL 32163-2313 Ph: (315) 382-1305 |
| NPI Number | 1457721763 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 07/26/2016 |
| Medicare PECOS PAC ID | 1052608312 |
|---|---|
| Medicare Enrollment ID | O20160929002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457721763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11397 (Florida) | Primary |
| Provider Name | Debra A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962568659 PECOS PAC ID: 2466404769 Enrollment ID: I20140623000422 |
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