Provider Demographics
NPI:1619370939
Name:BROWN, JANA MICHELLE (LCSW - A)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:MICHELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW - A
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:MICHELLE
Other - Last Name:VAN HORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-A
Mailing Address - Street 1:PO BOX 3624
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3624
Mailing Address - Country:US
Mailing Address - Phone:828-439-8191
Mailing Address - Fax:828-439-2588
Practice Address - Street 1:207 QUEEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3341
Practice Address - Country:US
Practice Address - Phone:828-439-8191
Practice Address - Fax:828-439-2588
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0090291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical