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NPI Code Detail

MEDICARE: MRS. CARIE ELIZABETH BROWN MSW LSCSW

MEDICARE: MRS. CARIE ELIZABETH BROWN MSW LSCSW
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
1104100000XSocial Worker5375
21041C0700XClinical Social Worker3716KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629196605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARIE ELIZABETH BROWN MSW LSCSW
Provider Business Mailing Address
First Line : 1905 19TH ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-2502
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Provider Business Practice Location Address
First Line : 1905 19TH ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-2502
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 11/18/2008

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