Provider Demographics
NPI:1427243765
Name:BROWN, SHEKITA RENEE (MSW, LCSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:SHEKITA
Middle Name:RENEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW, LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9342 ATLAS CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-7134
Mailing Address - Country:US
Mailing Address - Phone:704-607-0789
Mailing Address - Fax:888-467-5758
Practice Address - Street 1:8420 MEDICAL PLAZA DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-9759
Practice Address - Country:US
Practice Address - Phone:980-237-5184
Practice Address - Fax:888-467-5758
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0067291041C0700X
SC98471041C0700X
NCC0074201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty