Provider Demographics
NPI:1568901569
Name:BROWN, FELECIA (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:FELECIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 BREEDERS CUP DR
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-8007
Mailing Address - Country:US
Mailing Address - Phone:336-906-4097
Mailing Address - Fax:336-603-6217
Practice Address - Street 1:2 TERRACE WAY STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3663
Practice Address - Country:US
Practice Address - Phone:336-907-7308
Practice Address - Fax:336-907-7309
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0109771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical