Provider Demographics
NPI:1588925812
Name:BROWN, GAIL BARBARA (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:BARBARA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:BARBARA
Other - Last Name:BROWN LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:1 BLUM BUILDING
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2948
Mailing Address - Country:US
Mailing Address - Phone:305-535-3407
Mailing Address - Fax:305-535-3418
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:1 BLUM BUILDING
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-535-3407
Practice Address - Fax:305-535-3418
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW24581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical