Provider Demographics
NPI:1316709520
Name:BROWN, CAROLINE (LISW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW
Mailing Address - Street 1:19 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-1012
Mailing Address - Country:US
Mailing Address - Phone:513-312-3944
Mailing Address - Fax:
Practice Address - Street 1:10999 REED HARTMAN HWY STE 207
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-8301
Practice Address - Country:US
Practice Address - Phone:513-461-7526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.23050291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical