Healthcare Provider Details

I. General information

NPI: 1023214004
Provider Name (Legal Business Name): EMANUEL BROWN M.S.W, L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 S GEORGE ST SUITE 228
YORK PA
17401-1400
US

IV. Provider business mailing address

18 S GEORGE ST SUITE 228
YORK PA
17401-1400
US

V. Phone/Fax

Practice location:
  • Phone: 717-668-9306
  • Fax:
Mailing address:
  • Phone: 717-668-9306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014966
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCW014966
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW014966
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCW014966
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCW014966
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCW014966
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberCW014966
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: