Doctor Name: | MS. CLARISSIA BROWN |
NPI Number: | 1003148792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | ISW3031 |
Business Practice Address: | 2021 Busch Blvd Tampa, FL - 336128667 |
Business Phone Number: | 8136314370 |
Business Fax Number: | 8136314399 |
Mailing Address: | 2021 Busch Blvd, TAMPA |
State: | FL |
Postal Code: | 336128667 |
Phone Number: | 8136314370 |
Fax Number: | 8136314399 |
NPI Enumeration Date: | 02/04/2010 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW3031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |