Provider Demographics
NPI:1740319318
Name:BROWN, MAURICE LYNN (MSW, LMSW,)
Entity type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:M
Credentials:MSW, LMSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W MICHIGAN AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-5550
Mailing Address - Country:US
Mailing Address - Phone:734-680-0721
Mailing Address - Fax:
Practice Address - Street 1:133 W MICHIGAN AVE
Practice Address - Street 2:STE 103
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-5550
Practice Address - Country:US
Practice Address - Phone:734-680-0721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086119104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1437456696OtherNEW HOPE CLINICAL OMMUNITY SERVICES