Provider Demographics
NPI:1962676759
Name:BROWN, TWANDA L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TWANDA
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 MORRIS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4841
Mailing Address - Country:US
Mailing Address - Phone:908-688-1616
Mailing Address - Fax:908-688-1162
Practice Address - Street 1:2810 MORRIS AVE STE 103
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4841
Practice Address - Country:US
Practice Address - Phone:908-688-1616
Practice Address - Fax:908-688-1162
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053456001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical