MEDICARE: KIMBERLY 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
1	1041C0700X	Clinical Social Worker	38939	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1306044367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BROWN LCSW

Provider Business Mailing Address
First Line	:	14090 SOUTHWEST FWY STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3679
Country	:	US
Telephone Number	:	281-513-0903
Fax Number	:	832-945-2383

Provider Business Practice Location Address
First Line	:	14090 SOUTHWEST FWY
Second Line	:	STE 300
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3679
Country	:	US
Telephone Number	:	281-513-0903
Fax Number	:	832-945-2383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	08/22/2020

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Directions to “ KIMBERLY BROWN LCSW” Practice Location

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