DEBRA BROWN LCSW
NPI 1962568659
Social Worker - Clinical in The Villages, FL
NPI Status: Active since December 28, 2006
Contact Information
3142 ISLAWILD WAY
THE VILLAGES, FL
ZIP 32163
Phone: (315) 382-1305
- Individual
- Female
- Social Worker
- Clinical
- Accepts Medicare Approved Payment
- Opted-Out Medicare
About DEBRA BROWN
This page provides the complete NPI Profile along with additional information for Debra Brown, a provider established in The Villages, Florida with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1962568659 assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X with license number R029569-1 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1962568659
- Provider Name
- DEBRA BROWN LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3142 ISLAWILD WAY THE VILLAGES, FL 32163
- Location Phone
- (315) 382-1305
- Mailing Address
- 3142 ISLAWILD WAY THE VILLAGES, FL 32163
- Mailing Phone
- (315) 382-1305
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-28-2006
- Last Update Date
- 05-09-2014
- Code Navigator
A clinical social worker like Debra Brown is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Debra Brown opted out of Medicare effective on 01-01-2025 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- R029569-1
- License State
- NY
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Debra Brown is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2025
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
PECOS PAC ID: 2466404769
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140623000422
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 1 hour
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 22 times for 22 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
This service was performed 238 times for 39 patientsReviews for DEBRA BROWN LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 5 | 6 | 8 | 6 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 10 | 6 | 16 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 0 + 6 + 1 + 6 + 6 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1962568659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457721763 | DEBRA A BROWN LCSW INC Organization | Social Worker (Clinical) | 3142 ISLAWILD WAY THE VILLAGES, FL 32163 (315) 382-1305 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962568659, enumerated in the NPI registry as an "individual" on December 28, 2006
The provider is located at 3142 Islawild Way The Villages, Fl 32163 and the phone number is (315) 382-1305
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 1 hour.
No, the provider signed an affidavit on January 01, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on December 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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