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EBONY P BROWN
NPI 1689121972
Social Worker - Clinical in Chula Vista, CA

Active since September 05, 2016PECOS Enrolled
1741 EASTLAKE PKWY STE 102-1112, CHULA VISTA, CA 91915(619) 679-2930 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2024, Jul 23, 2024 (2 updates tracked since 2024).

About Ebony P Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY P BROWN (NPI 1689121972) is an individual clinical provider in Chula Vista, California, licensed in California (124202) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689121972
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY P BROWN
Location Address1741 EASTLAKE PKWY STE 102-1112Chula Vista, CA 91915-2032
Mailing Address1741 Eastlake Pkwy # 102-1112Chula Vista, CA 91915-2032 · (619) 679-2930
Phone(619) 679-2930
Sole ProprietorNo
Enumeration DateSeptember 5, 2016
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1689121972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 124202
Definition
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.
1741 EASTLAKE PKWY STE 102-1112, Chula Vista, CA 91915
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony P Brown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ebony Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 91915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ebony Brown's NPI number?

The NPI number for Ebony Brown is 1689121972. It was assigned to this individual provider in the NPPES registry on September 5, 2016.

Where is Ebony Brown located?

Ebony Brown practices at 1741 Eastlake Pkwy Ste 102-1112, Chula Vista, CA 91915. The listed phone number is (619) 679-2930.

What is Ebony Brown's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ebony Brown enrolled in Medicare?

Yes. Ebony Brown is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebony Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Brown reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Ebony Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ebony Brown was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.