Provider Demographics
NPI:1063998748
Name:BROWNE, APRIL (LCSW CADC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BROWNE
Suffix:
Gender:F
Credentials:LCSW CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 OUTBACK LN
Mailing Address - Street 2:
Mailing Address - City:NEW PLYMOUTH
Mailing Address - State:ID
Mailing Address - Zip Code:83655-5427
Mailing Address - Country:US
Mailing Address - Phone:208-859-1043
Mailing Address - Fax:
Practice Address - Street 1:2031 E QUAIL RUN RD
Practice Address - Street 2:
Practice Address - City:EMMETT
Practice Address - State:ID
Practice Address - Zip Code:83617-5059
Practice Address - Country:US
Practice Address - Phone:208-365-2525
Practice Address - Fax:208-365-2234
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID11762101YA0400X
IDLCSW-393841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID0000000Medicaid