MEDICARE: ANNE-MARIE T BROWN LCSW, MCAP, ICADC

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	ADC0038242014	FL
2	1041C0700X	Clinical Social Worker	SW14836	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1790172195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE-MARIE T BROWN LCSW, MCAP, ICADC

Provider Business Mailing Address
First Line	:	2237 SE MERRILL RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7026
Country	:	US
Telephone Number	:	410-739-6582
Fax Number	:

Provider Business Practice Location Address
First Line	:	2237 SE MERRILL RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7026
Country	:	US
Telephone Number	:	410-739-6582
Fax Number	:

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

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	04/20/2023

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