Provider Demographics
NPI:1659312114
Name:BROWN, LINDA R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:R
Last Name:BROWN
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 1:2322 W SETTLERS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1438
Mailing Address - Country:US
Mailing Address - Phone:281-740-8392
Mailing Address - Fax:281-528-7360
Practice Address - Street 1:326 1/2 NOBLE ST # B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8339
Practice Address - Country:US
Practice Address - Phone:281-740-8392
Practice Address - Fax:281-528-7360
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX091181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612169Medicare ID - Type Unspecified