Provider Demographics
NPI:1629476692
Name:BROWN-DAY, MADINAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MADINAH
Middle Name:
Last Name:BROWN-DAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636-44 ROUTE 38
Mailing Address - Street 2:SUITE #334
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048
Mailing Address - Country:US
Mailing Address - Phone:609-784-4682
Mailing Address - Fax:609-835-0354
Practice Address - Street 1:429 KENNEDY WAY
Practice Address - Street 2:MILITARY ORDER OF PURPLE HEART
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046
Practice Address - Country:US
Practice Address - Phone:609-784-4682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053492001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical