JADE E. BROWN (NPI# 1063073187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063073187 |
| Entity Type | Individual |
| Full Name | JADE E. BROWN |
| Credential | MSSW |
| Practice Address |
2100 Goshen Rd Fort Wayne IN 46808-1493 |
| Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
| Practice Telephone | 2604713500 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079863 | Jade Brown | Social Worker | 2517 Panorama Dr, Silver City, NM 88061-5834 | 2020-07-01 |
| 1730710666 | Jade Brown | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2020-01-29 |
| 1811468333 | Jade Marie Brown | Behavior Technician | 800 Ferrari Ste 100, Ontario, CA 91764-5031 | 2018-12-10 |
| 1497128854 | Jade Brown | Counselor | 4700 Wichers Dr Ste 205, Marrero, LA 70072-3054 | 2015-11-07 |
| Street Address |
2100 GOSHEN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802887 | Shelly J Edwards | Marriage & Family Therapist | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2005-06-24 |
| 1144820192 | Nicholas Ray Brauchler | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-29 |
| 1063019610 | Markita R Powell | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-10-07 |
| 1922611458 | Chase Aaron Young | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1962015404 | Zachary Brock | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1356954887 | Ayomikun Ajani | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-25 |
| 1407467210 | Allyson Thammachack | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-14 |
| 1245841485 | Emily Meller | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-08-12 |
| 1598383457 | Jessica Mann | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-07-08 |
| 1669097762 | Zabrina Przybilla | Counselor | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933299 | Kristina Lynn Devors | Social Worker | 7116 Chippenham Dr, Fort Wayne, IN 46818-0033 | 2020-08-19 |
| 1023636909 | Gary Scott Ralya | Social Worker | 2121 E State Blvd, Fort Wayne, IN 46805-4640 | 2020-07-08 |
| 1003444985 | Courageous Healing Inc | Social Worker | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-03-27 |
| 1164060653 | Brosh Inc | Social Worker | 4820 Oak Knob Run, Fort Wayne, IN 46845-8939 | 2019-12-15 |
| 1740780204 | Jay Bastian LLC | Social Worker | 9910 Dupont Circle Dr. Suite 140, Fort Wayne, IN 46825-1610 | 2018-02-20 |
| 1790291755 | Resolutions Counseling LLC | Social Worker | 13207 Hammerhill Way, Fort Wayne, IN 46845-2351 | 2017-12-28 |
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1306377304 | Charla Leman | Social Worker | 8011 Basswood Pl, Fort Wayne, IN 46835-4752 | 2017-03-22 |
| 1659826055 | Frank Deisler | Social Worker | 5543 S Wayne Ave, Fort Wayne, IN 46807-3128 | 2016-08-16 |
| 1013376458 | Rikki Lynn Treesh | Social Worker | 4918 Canterbury Dr, Fort Wayne, IN 46835-4102 | 2016-02-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.