Provider Demographics
NPI:1285737528
Name:BROWN, SYLVIA MAY (LCSW)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MAY
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:BROWN, LCSW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1702 CABOT CIR
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-7616
Mailing Address - Country:US
Mailing Address - Phone:910-295-6735
Mailing Address - Fax:910-295-5285
Practice Address - Street 1:144 WESTGATE DR
Practice Address - Street 2:ST PAUL LUTHERAN CHURCH
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374
Practice Address - Country:US
Practice Address - Phone:910-691-1370
Practice Address - Fax:910-295-5285
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0056941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCZ7497Medicare UPIN
FLZ7497Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER