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MR. PATRICK DAVID BROWN LCSW
NPI 1881371268
Social Worker - Clinical in Herrin, IL

Active since June 28, 2023Opted out of Medicare · through Mar 4, 2028
223 N PARK AVE, HERRIN, IL 62948(618) 706-9050 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Patrick David Brown Lcsw NPPES

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

MR. PATRICK DAVID BROWN LCSW (NPI 1881371268) is an individual clinical provider in Herrin, Illinois, licensed in Illinois (149025227) and active in the NPI registry since June 2023. He has opted out of Medicare through March 4, 2028 and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1881371268
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PATRICK DAVID BROWNCredential: LCSW
Location Address223 N PARK AVEHerrin, IL 62948-3149
Mailing Address3704 Tulip Row WayKnoxville, TN 37917-1667 · (618) 559-2515
Phone(618) 706-9050
Sole ProprietorNo
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1881371268 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 IL · 149025227✔ Licensed in TN · LSW0000008629
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.
223 N PARK AVE, Herrin, IL 62948
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Secondary Practice Location 1

Location 13704 Tulip Row WayKnoxville, TN 37917-1667 · Phone (618) 559-2515

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Patrick David 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 March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024
Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

PAUL C JACOBS TREVOR CRABTREE PTR
Optometrist (Corneal and Contact Management)
223 N PARK AVE
HERRIN, IL 62948
Williamson County (618) 942-6887
TALITHA R MYERS LCSW
Social Worker (Clinical)
223 N PARK AVE
HERRIN, IL 62948
Williamson County (618) 706-9050

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 Patrick Brown's NPI number?

The NPI number for Patrick Brown is 1881371268. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Patrick Brown located?

Patrick Brown practices at 223 N Park Ave, Herrin, IL 62948. The listed phone number is (618) 706-9050.

What is Patrick Brown's specialty?

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

Is Patrick Brown enrolled in Medicare?

No. Patrick Brown has opted out of Medicare through March 4, 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 Patrick Brown was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.