KALISHA KORAN BROWN (LCSW) – Social Worker, NPI 1396307070
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
698 CLINICAL SOCIAL WORKER in AR
Provider Addresses for KALISHA KORAN BROWN (LCSW)
3010 S Dakota St
Pine Bluff, AR 716017208
Phone: (909) 222-0096
Fax: (840) 600-3050
Type: Location
115, Temple Avenue, Beaumont, Riverside County, California, 92223, United States
BEAUMONT, CA 922233154
Phone:
Type: Mailing
3010 S DAKOTA ST
PINE BLUFF, AR 716017208
Phone: (909) 222-0096
Fax: (840) 600-3050
Type: Mailing
12139 MOUNT VERNON AVE STE 105
GRAND TERRACE, CA 923135500
Phone: (909) 222-0096
Type: Location
901 N Glebe Rd Fl 5
Arlington, VA 222031853
Phone: (909) 222-0096
Fax: (840) 600-3050
Type: Location
222 W 6TH ST STE 400
SAN PEDRO, CA 907313345
Phone: (323) 797-8387
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210914003840 | I | Clinical Social Worker | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71601)
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