Provider Demographics
NPI:1912399403
Name:BROWN, SHONSIERAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHONSIERAE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SHON
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1692 HIDDEN FOREST LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-5586
Mailing Address - Country:US
Mailing Address - Phone:904-386-8575
Mailing Address - Fax:904-425-4688
Practice Address - Street 1:9951 ATLANTIC BLVD
Practice Address - Street 2:SUITE 158
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-6584
Practice Address - Country:US
Practice Address - Phone:904-386-8575
Practice Address - Fax:904-425-4688
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW117251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical