Provider Demographics
NPI:1811128069
Name:BROWN, CORINE MARIE ALICE (DSW, LCSW-BACS)
Entity type:Individual
Prefix:DR
First Name:CORINE
Middle Name:MARIE ALICE
Last Name:BROWN
Suffix:
Gender:
Credentials:DSW, LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 OPELOUSAS AVE # 4
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-4343
Mailing Address - Country:US
Mailing Address - Phone:504-338-6927
Mailing Address - Fax:
Practice Address - Street 1:627 OPELOUSAS AVE # 4
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-4343
Practice Address - Country:US
Practice Address - Phone:504-338-6927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA111791041C0700X
CA1295721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical