Doctor Name: | MS. JODY BROWN |
NPI Number: | 1053564765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.C.S.W. |
License Number: | CSW-298 |
Business Practice Address: | 702 10th Ave Longmont, CO - 805014536 |
Business Phone Number: | 3036672245 |
Business Fax Number: | |
Mailing Address: | 334 Vivian St, LONGMONT |
State: | CO |
Postal Code: | 805014841 |
Phone Number: | 3039813455 |
Fax Number: | 3034850477 |
NPI Enumeration Date: | 10/25/2008 |
NPI Last Update Date: | 10/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW-298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |