Healthcare Provider Details

I. General information

NPI: 1699365221
Provider Name (Legal Business Name): ELIZABETH BROWN LCSW, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 MOUNTAINVIEW RD
WARREN NJ
07059-8038
US

IV. Provider business mailing address

199 MOUNTAINVIEW RD
WARREN NJ
07059-8038
US

V. Phone/Fax

Practice location:
  • Phone: 973-750-8872
  • Fax: 908-259-8188
Mailing address:
  • Phone: 973-750-8872
  • Fax: 908-259-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05970000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: