Provider Demographics
NPI:1164783676
Name:BROWN, DARREN MICHAEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:MICHAEL
Last Name:BROWN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 CRESTED PEAK CT
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-9423
Mailing Address - Country:US
Mailing Address - Phone:575-650-8114
Mailing Address - Fax:
Practice Address - Street 1:1155 S TELSHOR BLVD STE 302A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4788
Practice Address - Country:US
Practice Address - Phone:575-650-8114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490152641041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical