Provider Demographics
NPI:1568278422
Name:BROWN, SHAMARIAH RYE (MSW)
Entity type:Individual
Prefix:
First Name:SHAMARIAH
Middle Name:RYE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4347 S HAMPTON RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1071
Mailing Address - Country:US
Mailing Address - Phone:972-803-5565
Mailing Address - Fax:
Practice Address - Street 1:4347 S HAMPTON RD STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1071
Practice Address - Country:US
Practice Address - Phone:972-803-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker