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NPI Code Detail

MEDICARE: STEVANIE BROWN LSW

MEDICARE: STEVANIE BROWN LSW
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.176203OH
21041C0700XClinical Social WorkerI.2607760OH
31041S0200XSchool Social WorkerS.2106186OH
4104100000XSocial WorkerS.2106186OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013593821
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVANIE BROWN LSW
Provider Business Mailing Address
First Line : 1590 CRESTVIEW DR
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3560
Country : US
Telephone Number : 330-345-7949
Fax Number :
Provider Business Practice Location Address
First Line : 1590 CRESTVIEW DR
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3560
Country : US
Telephone Number : 330-345-7949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 02/17/2026

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