Provider Demographics
NPI:1922237403
Name:MACIAS-BROWN, LAURA ELENA I (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELENA
Last Name:MACIAS-BROWN
Suffix:I
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 1:2387 S LINDEN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5488
Mailing Address - Country:US
Mailing Address - Phone:810-701-8493
Mailing Address - Fax:
Practice Address - Street 1:2387 S LINDEN RD STE 130
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5488
Practice Address - Country:US
Practice Address - Phone:810-701-8493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010816381041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical