Healthcare Provider Details

I. General information

NPI: 1023463098
Provider Name (Legal Business Name): KIERA BROWN MSW, LCSW, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 LEPHILLIP COURT
CONCORD NC
28025
US

IV. Provider business mailing address

10130 MALLARD CREEK RD STE 300
CHARLOTTE NC
28262-6001
US

V. Phone/Fax

Practice location:
  • Phone: 704-721-5551
  • Fax:
Mailing address:
  • Phone: 984-977-9277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP010320
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011457
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: