Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kalisha Koran Brown, LCSW

Individual provider Clinical Social Worker · NPI 1396307070

Kalisha Koran Brown, LCSW is a Clinical Social Worker in Grand Terrace, California. Qualified in 2014, 12 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, California, Texas and Virginia.

Years since qualifying
12
Licensed in
AR, CA, TX, VA
In the registry since
2019
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12139 Mount Vernon Ave Ste 105
Grand Terrace, CA 92313-5500
Phone: (909) 222-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3010 S Dakota St, Pine Bluff, AR 71601-7208 — (909) 222-0096
  • 901 N Glebe Rd Fl 5, Arlington, VA 22203-1853 — (909) 222-0096

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 99995 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904013051 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 118560 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 27822-C (AR)

Record details

NPI number1396307070
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Terrace