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

Mr. Otha Brown, MSW

Individual provider Social Worker · NPI 1194026112

Mr. Otha Brown, MSW is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan and Pennsylvania. Registered with an NPI since 2010.

Licensed in
MI, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone: (616) 459-7215
Fax: (616) 451-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801092030 (MI)
Social Worker Taxonomy 104100000X · Licence SW008596 (PA)

Record details

NPI number1194026112
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedNovember 8, 2010
Last updated in NPPESNovember 8, 2010

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