Provider Demographics
NPI:1790172195
Name:BROWN, ANNE-MARIE T (LCSW, MCAP, ICADC)
Entity Type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:T
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW, MCAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 SE MERRILL RD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7026
Mailing Address - Country:US
Mailing Address - Phone:410-739-6582
Mailing Address - Fax:
Practice Address - Street 1:2237 SE MERRILL RD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7026
Practice Address - Country:US
Practice Address - Phone:410-739-6582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC0038242014101YA0400X
FLSW148361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)