Provider Demographics
NPI:1427848894
Name:BROWN, KATRINA MARIE (LCSWA)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 COMMERCE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2971
Mailing Address - Country:US
Mailing Address - Phone:252-288-9539
Mailing Address - Fax:
Practice Address - Street 1:305 COMMERCE AVE STE 102
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2971
Practice Address - Country:US
Practice Address - Phone:252-288-9539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0215611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical