Provider Demographics
NPI:1437685427
Name:BROWN, HILARY TAYLOR (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:TAYLOR
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 PORTLAND AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6875
Mailing Address - Country:US
Mailing Address - Phone:612-389-7106
Mailing Address - Fax:952-236-4596
Practice Address - Street 1:12400 PORTLAND AVE STE 180
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6875
Practice Address - Country:US
Practice Address - Phone:612-389-7106
Practice Address - Fax:952-236-4596
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN258531041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health