Provider Demographics
NPI:1073808242
Name:BROWN, ROBERT CLAUDE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CLAUDE
Last Name:BROWN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2359 US HIGHWAY 70 SE
Mailing Address - Street 2:NO. 357
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8300
Mailing Address - Country:US
Mailing Address - Phone:828-358-1110
Mailing Address - Fax:828-358-1110
Practice Address - Street 1:110 N CENTER ST STE 203
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6294
Practice Address - Country:US
Practice Address - Phone:828-358-1110
Practice Address - Fax:828-358-1110
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0065221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007919Medicaid
NC6007919Medicaid