Provider Demographics
NPI:1821132887
Name:BROWN, DANIEL EUGENE (MSW LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:EUGENE
Last Name:BROWN
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PEE DEE AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-8053
Mailing Address - Country:US
Mailing Address - Phone:704-986-1565
Mailing Address - Fax:
Practice Address - Street 1:350 PEE DEE AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-8053
Practice Address - Country:US
Practice Address - Phone:704-986-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0053111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106477Medicaid