MEDICARE: MS. DANIELLE ELAN BROWN MSW

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	56787	TX
2	1041C0700X	Clinical Social Worker	17478	CA
3	1041C0700X	Clinical Social Worker	25925	CA

General Provider Information

NPI Number	:	1891819058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE ELAN BROWN MSW

Provider Business Mailing Address
First Line	:	35 W MAIN ST STE B
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93001-4501
Country	:	US
Telephone Number	:	512-420-7444
Fax Number	:

Provider Business Practice Location Address
First Line	:	669 W 34TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-4604
Country	:	US
Telephone Number	:	512-420-7444
Fax Number	:

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/12/2021

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