MEDICARE: JULIA L BROWN LCSW, LCAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	87001292A	IN
2	1041C0700X	Clinical Social Worker	34004930A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000822119	OTHER	IN	ANTHEM BCBS
2	000000362977	OTHER	IN	ANTHEM BCBS
3	000000822135	OTHER	IN	ANTHEM BCBS

General Provider Information

NPI Number	:	1457356214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA L BROWN LCSW, LCAC

Provider Business Mailing Address
First Line	:	100 BREWSTER BLVD.
Second Line	:	FAMILY MEDICINE CLINIC
City	:	CAMP LEJEUNE
State	:	NC
Zip	:	28547
Country	:	US
Telephone Number	:	910-450-3524
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 BREWSTER BLVD
Second Line	:	NAVAL HOSPITAL
City	:	CAMP LEJEUNE
State	:	NC
Zip	:	28547-2538
Country	:	US
Telephone Number	:	910-450-4529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	01/08/2025

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