Provider Demographics
NPI:1841702891
Name:BROWN, KARI ANN (LCSW)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
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 1:3240 JOHNNY CAKE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6628
Mailing Address - Country:US
Mailing Address - Phone:704-641-8801
Mailing Address - Fax:
Practice Address - Street 1:3240 JOHNNY CAKE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6628
Practice Address - Country:US
Practice Address - Phone:704-641-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO126891041C0700X
NCP0116211041C0700X
NCPO116211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCO12689OtherNORTH CAROLINA SOCIAL WORK LICENSING BOARD