Provider Demographics
NPI:1427332352
Name:BROWN, BONNIE CARAWAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:CARAWAY
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 1:7100 PLANTATION RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4206
Mailing Address - Country:US
Mailing Address - Phone:850-232-6935
Mailing Address - Fax:850-607-6935
Practice Address - Street 1:7100 PLANTATION RD
Practice Address - Street 2:SUITE 11
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-4206
Practice Address - Country:US
Practice Address - Phone:850-232-6935
Practice Address - Fax:850-607-6935
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW105461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical