Look up the most recent NPI and PECOS records

Rebecca Ann Brown

Social Worker

Behavioral Health & Social Service Providers

5965 S 900 E, Salt Lake City, UT 84121-1720

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Ann Brown does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255638409
Provider Type
Individual
Full Name
Brown, Rebecca Ann
Credential
LSAC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/24/2011
Last Updated
8/13/2013

Contact Information

Practice Location

5965 S 900 E, Salt Lake City, UT 84121-1720

(888) 949-4864

Unlisted Fax

Mailing Location

5965 S 900 E, Salt Lake City, UT 84121-1720

(888) 949-4864

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 350052-3502 Utah
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 350052-6006 Utah
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Rebecca Ann Brown

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

Code

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