Provider Demographics
NPI:1891819058
Name:BROWN, DANIELLE ELAN (MSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ELAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 W MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-4501
Mailing Address - Country:US
Mailing Address - Phone:512-420-7444
Mailing Address - Fax:
Practice Address - Street 1:669 W 34TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-4604
Practice Address - Country:US
Practice Address - Phone:512-420-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567871041C0700X
CA174781041C0700X
CA259251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical