Healthcare Provider Details

I. General information

NPI: 1568126035
Provider Name (Legal Business Name): SYDNEY BROWN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 BOST AVE
NEVADA CITY CA
95959-3249
US

IV. Provider business mailing address

123 RICHARDSON ST APT C
GRASS VALLEY CA
95945-6299
US

V. Phone/Fax

Practice location:
  • Phone: 530-274-2000
  • Fax:
Mailing address:
  • Phone: 916-813-4892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: