Provider Demographics
NPI:1003081720
Name:BROWN, PATRICIA (LISW/LICDC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LISW/LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 GREENBRIAR PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3521
Mailing Address - Country:US
Mailing Address - Phone:216-406-0066
Mailing Address - Fax:
Practice Address - Street 1:311 MARTIN LUTHER KING DR E
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2581
Practice Address - Country:US
Practice Address - Phone:513-475-5300
Practice Address - Fax:513-281-2571
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00073601041C0700X
OH954246101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)