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NPI Code Detail

MEDICARE: KATHERINE ALBERTA BROWN LCSW

MEDICARE: KATHERINE ALBERTA 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
11041C0700XClinical Social WorkerSW10919FL
21041C0700XClinical Social WorkerCSW006415GA
31041C0700XClinical Social Worker4613CAL
41041C0700XClinical Social Worker8774-CNV
51041C0700XClinical Social Worker17778SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11041C0700XOTHERFLNPI

General Provider Information

NPI Number : 1528310455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ALBERTA BROWN LCSW
Provider Business Mailing Address
First Line : 1061 HARMON AVE STE 1D03
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6965
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE STE 1D03
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2012
Last Update Date : 02/18/2026

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