NPI 1740448026 · live from the CMS NPI Registry
Jonathan Everett Brown, LCSW
Social Worker, Clinical in Jber, AK. National Provider Identifier 1740448026, active.
NPI record
| NPI | 1740448026 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 673d Omrs/Sgxw, 5955 Zeamer Avenue, Jber, AK 99506 |
| Practice phone | 907-580-2181 |
| Enumerated | May 23, 2008 |
| Last updated | August 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1931 (NC) |
| Social Worker, Clinical primary | 1041C0700X | C006484 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.