JENNIFER AMENDOLARI BROWN LCSW
NPI 1760422166
Social Worker - Clinical in Gainesville, GA

NPI Status: Active since June 07, 2006

Contact Information

2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA
ZIP 30501
Phone: (917) 494-1410

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Opted-Out Medicare

About JENNIFER BROWN

This page provides the complete NPI Profile along with additional information for Jennifer Brown, a provider established in Gainesville, Georgia with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1760422166 assigned on June 2006. The practitioner's primary taxonomy code is 1041C0700X with license number CSW004168 (GA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1760422166
Provider Name
JENNIFER AMENDOLARI BROWN LCSW
Gender
Female
Entity Type
Individual
Location Address
2565 THOMPSON BRIDGE RD STE 111 GAINESVILLE, GA 30501
Location Phone
(917) 494-1410
Mailing Address
2565 THOMPSON BRIDGE RD STE 111 GAINESVILLE, GA 30501
Mailing Phone
(917) 494-1410
Is Sole Proprietor?
Yes
Enumeration Date
06-07-2006
Last Update Date
05-24-2021
Code Navigator

A clinical social worker like Jennifer 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. Jennifer Brown opted out of Medicare effective on 04-01-2024 until 04-01-2026. 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

Secondary Locations

  • 505 Green St NW 2ND FLOOR
    Gainesville, GA 30501
    (917) 494-1410

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.
CSW004168
License State
GA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

RO59786 (NY)

Medicare Participation & PECOS Enrollment Status

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: 04-01-2024

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760422166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 8 + 2 + 4 + 1 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760422166.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor (Professional)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Dietitian, Registered
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Counselor (Professional)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Social Worker (Clinical)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Counselor (Mental Health)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Counselor (Mental Health)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760422166, enumerated as an "individual" on June 07, 2006.

The provider is located at 2565 THOMPSON BRIDGE RD STE 111 GAINESVILLE, GA 30501 and the phone number is (917) 494-1410.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.