Provider Demographics
NPI:1326153263
Name:BROWN, ROBERT F (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
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 1:5116 LA VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-8918
Mailing Address - Country:US
Mailing Address - Phone:815-440-6456
Mailing Address - Fax:
Practice Address - Street 1:2385 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-7831
Practice Address - Country:US
Practice Address - Phone:956-399-5356
Practice Address - Fax:956-361-3668
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149011722104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker