National Provider Identifier

Joan M Brown, LCSW-R

Joan M Brown, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 733-5696.

NPI 1699974253Elmira, NYClinical Social Worker

Profile Overview

NPI
1699974253
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 13, 2007
Last Updated
August 22, 2024

Practice Location

  • 1019 E Water St
  • Elmira, NY 14901-3332

Phone: (607) 733-5696

Mailing Address

  • 90 Hornbrook RD
  • Ithaca, NY 14850-9427

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1699974253
Entity Type
Individual
Last Name
Brown
First Name
Joan
Middle Name
M
Name Prefix
Mrs.
Credential
LCSW-R
Provider Other Last Name
Brown
Provider Other First Name
Joan
Provider Other Middle Name
M
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
LCSW-R
Provider Other Last Name Type Code
1
Mailing Street Address
90 Hornbrook RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9427
Mailing Country
US
Practice Street Address
1019 E Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3332
Practice Country
US
Practice Phone
(607) 733-5696
Enumeration Date
July 13, 2007
Last Updated
August 22, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)