MEDICARE: MELINDA COLLETT BROWN LCSW, CHWC

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	1041C0700X	Clinical Social Worker	3327	KY
2	171400000X	Health & Wellness Coach	161790
3	1041C0700X	Clinical Social Worker	0904017559	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3327	OTHER	KY	LICENSED CLINICAL SOCIAL WORKER
2	161790	OTHER		CERTIFIED HEALTH AND WELLBEING COACH: WELLCOACHES CORPORATION
3	0904017559	OTHER	VA	LCSW

General Provider Information

NPI Number	:	1588616270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA COLLETT BROWN LCSW, CHWC

Provider Business Mailing Address
First Line	:	153 S COLONIAL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-3517
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 BROAD ROCK RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23249-1433
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/27/2025

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