Active NPIIndividual providerSole proprietor

Krystal J Brown, LICSW

Social Worker, Clinical in Rutland, Vermont

NPI Number1093323750
Practice location
215 Stratton RD, Rutland, VT 05701-4621
Fax
—
Last updated
November 4, 2021

Krystal J Brown is a Social Worker, Clinical based in Rutland, VT. Krystal J Brown practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Krystal J Brown is 1093323750 and holds a License No. 089.0117924 (VT). The current practice location address for Krystal J Brown is 215 Stratton RD, Rutland, VT 05701-4621 and can be reached out via phone at 802-773-3386.

Provider Profile Details

NPI Number
1093323750
Provider Name
Krystal J Brown
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
215 Stratton RD, Rutland, VT 05701-4621
Phone Number
802-773-3386
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Krystal Cota, LICSW (Former Name)
Provider Enumeration Date
July 20, 2020
Last Update Date
November 4, 2021
Certification Date
November 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Stratton RD
Rutland, VT 05701-4621
State
Vermont
Zip
05701-4621
Phone Number
802-773-3386
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
749 Vail Dr
Lyndonville, VT 05851-9201
City
Lyndonville
State
VT
Zip
05851-9201
Phone Number
802-745-7873

License Information

License Number
089.0117924
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krystal J Brown, LICSW?

The NPI number of Krystal J Brown, LICSW is 1093323750. It was assigned on July 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Krystal J Brown, LICSW?

Krystal J Brown, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0117924.

Where does Krystal J Brown, LICSW practice?

The practice location is 215 Stratton RD, Rutland, VT 05701-4621. The office can be reached at 802-773-3386 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093323750 directly on the NPPES registry website.

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