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NPI Code Detail

MEDICARE: SAMANTHA KATHERINE BROWN LCSW

MEDICARE: SAMANTHA KATHERINE BROWN LCSW
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
1101YM0800XMental Health CounselorSW24741FL
21041C0700XClinical Social WorkerSW24741FL

General Provider Information

NPI Number : 1255800918
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KATHERINE BROWN LCSW
Provider Business Mailing Address
First Line : 1825 RIVERVIEW DR
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-4711
Country : US
Telephone Number : 321-258-9537
Fax Number : 321-541-9135
Provider Business Practice Location Address
First Line : 1825 RIVERVIEW DR
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-4711
Country : US
Telephone Number : 321-258-9537
Fax Number : 321-541-9135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2018
Last Update Date : 07/22/2025

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