KALISHA KORAN BROWN LCSW
NPI 1396307070
Social Worker - Clinical in Pine Bluff, AR
About Kalisha Koran Brown Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALISHA KORAN BROWN LCSW (NPI 1396307070) is an individual clinical provider in Pine Bluff, Arkansas, licensed in Arkansas (27822-C) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kalisha Koran Brown Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kalisha Koran Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indio, CA 92201
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Grand Terrace, CA 92313
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kalisha Koran Brown's NPI number?
The NPI number for Kalisha Koran Brown is 1396307070. It was assigned to this individual provider in the NPPES registry on July 3, 2019. The provider is also known as Kalisha Koran Vault Lcsw.
Where is Kalisha Koran Brown located?
Kalisha Koran Brown practices at 2500 Rike Dr, Pine Bluff, AR 71603. The listed phone number is (870) 534-1834.
What is Kalisha Koran Brown's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kalisha Koran Brown enrolled in Medicare?
Yes. Kalisha Koran Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kalisha Koran Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalisha Koran Brown reassigns Medicare benefits to 2 organizations: Sac Health System (Indio, CA) and Breaking Cycles Counseling (Grand Terrace, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalisha Koran Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalisha Koran Brown accept?
Health plans from Blue Cross and Blue Shield of Texas list Kalisha Koran Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kalisha Koran Brown was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kalisha Koran Brown, LCSW · NPI 1396307070
Clinical provider in Pine Bluff, Arkansas. Individual provider, active in the CMS NPPES registry since July 3, 2019.
## Identity
- **NPI:** 1396307070 (Entity type: Individual)
- **Enumerated:** July 3, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 27822-C (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 RIKE DR, Pine Bluff, AR 71603-3937
- **Phone:** (870) 534-1834 · **Fax:** (870) 534-5798
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sac Health System (NPI 1386299204, Indio, CA); Breaking Cycles Counseling (NPI 1972284958, Grand Terrace, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396307070) · Data from the CMS NPPES public registry.