Healthcare Provider Details

I. General information

NPI: 1417828914
Provider Name (Legal Business Name): JODIE BROWN MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 25TH ST
GRAND JUNCTION CO
81501-6594
US

IV. Provider business mailing address

495 GREEN ACRES ST # 2B
CLIFTON CO
81520-8818
US

V. Phone/Fax

Practice location:
  • Phone: 970-235-4406
  • Fax:
Mailing address:
  • Phone: 970-640-8437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW.0009926380
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: