MEDICARE: MR. STEVEN PHILLIP BROWN LISW-CP, DCSW, BCD

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	SC LIC#1904	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q271239626	OTHER	SC	MEDICARE INDIVIDUAL PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1821091737	OTHER	SC	NATIONAL PROVIDER IDENTIFICATION NUMBER 1821091737

General Provider Information

NPI Number	:	1821091737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN PHILLIP BROWN LISW-CP, DCSW, BCD

Provider Business Mailing Address
First Line	:	PO BOX 6
Second Line	:
City	:	ROEBUCK
State	:	SC
Zip	:	29376-0006
Country	:	US
Telephone Number	:	864-582-4080
Fax Number	:	864-574-4066

Provider Business Practice Location Address
First Line	:	151 S CHURCH ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-3241
Country	:	US
Telephone Number	:	864-582-4080
Fax Number	:	864-574-4066

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	09/14/2013

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Directions to “ MR. STEVEN PHILLIP BROWN LISW-CP, DCSW, BCD” Practice Location

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