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

Active since June 07, 2006Opted out of Medicare · through Apr 1, 2028
2565 THOMPSON BRIDGE RD STE 111, GAINESVILLE, GA 30501(917) 494-1410 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Amendolari Brown Lcsw NPPES

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

JENNIFER AMENDOLARI BROWN LCSW (NPI 1760422166) is an individual clinical provider in Gainesville, Georgia, licensed in Georgia (CSW004168) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1760422166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER AMENDOLARI BROWNCredential: LCSW
Location Address2565 THOMPSON BRIDGE RD STE 111Gainesville, GA 30501-1723
Mailing Address2565 Thompson Bridge Rd Ste 111Gainesville, GA 30501-1723 · (917) 494-1410
Phone(917) 494-1410
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1760422166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW004168✔ Licensed in NY · RO59786
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.
2565 THOMPSON BRIDGE RD STE 111, Gainesville, GA 30501
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Secondary Practice Location 1

Location 1505 Green St NW, 2ND FLOORGainesville, GA 30501-3313 · Phone (917) 494-1410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Amendolari Brown Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL BOYLAN LPC
Counselor (Professional)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Hall County (706) 229-2211
GAINESVILLE MENTAL HEALTH SERVICES LLC
Counselor (Mental Health)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Hall County (470) 839-5845
REGINA MARIE SAXTON RD, LD
Dietitian, Registered
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Hall County (678) 372-2346
LINH MY LAM
Counselor (Professional)
2565 THOMPSON BRIDGE RD STE 111
GAINESVILLE, GA 30501
Hall County (678) 557-3447

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 Jennifer Brown's NPI number?

The NPI number for Jennifer Brown is 1760422166. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jennifer Brown located?

Jennifer Brown practices at 2565 Thompson Bridge Rd Ste 111, Gainesville, GA 30501. The listed phone number is (917) 494-1410.

What is Jennifer Brown's specialty?

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

Is Jennifer Brown enrolled in Medicare?

No. Jennifer Brown has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Brown was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.