Provider Demographics
NPI:1851656557
Name:BROWN, JONNIE BELINDA (LMSW)
Entity Type:Individual
Prefix:
First Name:JONNIE
Middle Name:BELINDA
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 MADISON ST STE D
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3921
Mailing Address - Country:US
Mailing Address - Phone:931-820-1031
Mailing Address - Fax:
Practice Address - Street 1:2535 MADISON ST STE D
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-3921
Practice Address - Country:US
Practice Address - Phone:931-820-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000009155104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker