Willie Jewel Brown is a Clinical in Jasper, Texas. Willie Jewel Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willie Jewel Brown is 1265554398. The last update date is 2007-07-08.
Willie Jewel Brown's current location address is 255 S. Wheeler Street, Jasper, Texas. You can contact this provider via phone number 4093841495 and fax number 4093831214. The mailing address for Willie Jewel Brown is 255 S. Wheeler Street, Jasper, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Jewel Brown |
|---|---|
| Address | 255 S. Wheeler Street, Jasper, Texas |
| Phone Number | 4093841495 |
| Fax Number | 4093831214 |
| Sole Proprietor | Y |
| Credentials | LCSW, PHD |
NPI Number Detail
| NPI Number | 1265554398 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 255 S. Wheeler Street |
|---|---|
| City | Jasper |
| State | Texas (TX) |
| Post Code | 75951 |
| Phone Number | 4093841495 |
| Fax Number | 4093831214 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 00S142 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Willie Jewel Brown?
The Willie Jewel Brown has been issued the NPI (National Provider Identifier) 1265554398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Willie Jewel Brown is located?
The Willie Jewel Brown is situated at the following address: 255 S. Wheeler Street, Jasper, TX, 75951.
What is Willie Jewel Brown's specialized field of practice, and what is the corresponding taxonomy classification code?
The Willie Jewel Brown's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265554398 to Willie Jewel Brown?
The Centers for Medicare & Medicaid Services assigned the 1265554398 to Willie Jewel Brown on 2007-04-06.
As of what date were the details pertaining to Willie Jewel Brown last refreshed?
The information related to the Willie Jewel Brown, including its address, specialty, and other relevant details, was last updated on 2007-07-08.