Healthcare Provider Details

I. General information

NPI: 1497222384
Provider Name (Legal Business Name): JOHANNAH LEIGH BROWN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E 2ND AVE STE 205
SPOKANE WA
99202-1455
US

IV. Provider business mailing address

323 E 2ND AVE STE 205
SPOKANE WA
99202-1455
US

V. Phone/Fax

Practice location:
  • Phone: 509-954-5057
  • Fax:
Mailing address:
  • Phone: 509-954-5057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSC60737629
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC60737629
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60930570
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: