Doctor Name: | ELLEN OZAROW BROWN |
NPI Number: | 1316003445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R017056 |
Business Practice Address: | 315 Ushers Rd Northway 10 Executive Park Ballston Lake, NY - 120191547 |
Business Phone Number: | 5188770582 |
Business Fax Number: | 5188778812 |
Mailing Address: | 315 Ushers Rd, Northway 10 Executive Park BALLSTON LAKE |
State: | NY |
Postal Code: | 120191547 |
Phone Number: | 5188770582 |
Fax Number: | 5188778812 |
NPI Enumeration Date: | 01/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R017056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |