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NPI Code Detail

MEDICARE: MS. PATRICIA BROWN LISW/LICDC

MEDICARE: MS. PATRICIA BROWN LISW/LICDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI0007360OH
2101YA0400XAddiction (Substance Use Disorder) Counselor954246OH

General Provider Information

NPI Number : 1003081720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA BROWN LISW/LICDC
Provider Business Mailing Address
First Line : 1845 GREENBRIAR PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3521
Country : US
Telephone Number : 216-406-0066
Fax Number :
Provider Business Practice Location Address
First Line : 311 MARTIN LUTHER KING DR E
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2581
Country : US
Telephone Number : 513-475-5300
Fax Number : 513-281-2571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 05/08/2020

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