MEDICARE: WILLIAM CHRISTOPHER 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	10446	CT

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	:	1780247528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CHRISTOPHER BROWN LCSW

Provider Business Mailing Address
First Line	:	405 MAIN ST
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-4710
Country	:	US
Telephone Number	:	203-743-4412
Fax Number	:	203-738-1188

Provider Business Practice Location Address
First Line	:	40 MAIN ST N STE 2F
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-2966
Country	:	US
Telephone Number	:	860-483-0796
Fax Number	:

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

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	07/11/2022

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