Healthcare Provider Details

I. General information

NPI: 1699686295
Provider Name (Legal Business Name): EMMA BROWN LMSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 HANCOCK ST APT 5B
BROOKLYN NY
11216-2100
US

IV. Provider business mailing address

148 HANCOCK ST APT 5B
BROOKLYN NY
11216-2100
US

V. Phone/Fax

Practice location:
  • Phone: 310-663-5867
  • Fax:
Mailing address:
  • Phone: 310-663-5867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number133325-01
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: