Provider Demographics
NPI:1639107741
Name:BROWN, LAWRENCE MONROE JR (CMSW)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:MONROE
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 RIDGEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1919
Mailing Address - Country:US
Mailing Address - Phone:757-833-8511
Mailing Address - Fax:
Practice Address - Street 1:HAMPTON VAMC
Practice Address - Street 2:100 EMANCIPATION DR
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-726-6025
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCSW00000067581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical