Provider Demographics
NPI:1518634443
Name:BROWN, TEYONNA ARIEL (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:TEYONNA
Middle Name:ARIEL
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 WILLOW ST APT K
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-5765
Mailing Address - Country:US
Mailing Address - Phone:646-260-1973
Mailing Address - Fax:
Practice Address - Street 1:606 EDMONDSON AVE STE 200
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3352
Practice Address - Country:US
Practice Address - Phone:410-870-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138058104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker