Healthcare Provider Details

I. General information

NPI: 1801705520
Provider Name (Legal Business Name): JOE NATHAN BROWN SR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24086 VIA HELENA
MURRIETA CA
92562-3561
US

IV. Provider business mailing address

24086 VIA HELENA
MURRIETA CA
92562-3561
US

V. Phone/Fax

Practice location:
  • Phone: 719-291-2319
  • Fax:
Mailing address:
  • Phone: 719-291-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number142008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: