J. Phyllis Brannen in Melbourne - Clinical

J. Phyllis Brannen - NPI 1003993874

J. Phyllis Brannen is a Clinical in Melbourne, Florida. J. Phyllis Brannen practices all healthcare services and medical treatments related to Clinical. The NPI Number for J. Phyllis Brannen is 1003993874. The last update date is 2007-11-26.

J. Phyllis Brannen's current location address is 1503 Pine St, Melbourne, Florida. You can contact this provider via phone number 3219533225 and fax number 3219533252. The mailing address for J. Phyllis Brannen is 1503 Pine St, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Phyllis Brannen
Address 1503 Pine St, Melbourne, Florida
Phone Number 3219533225
Fax Number 3219533252
Sole Proprietor Y
Credentials LCSW, CAP

NPI Number Detail

NPI Number 1003993874
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-11-26

Provider Mailing Address Detail

Address 1503 Pine St
City Melbourne
State Florida (FL)
Post Code 329013120
Phone Number 3219533225
Fax Number 3219533252

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW6239
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, certif

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FAQs about J. Phyllis Brannen

What is the unique 10-digit identification code issued to J. Phyllis Brannen by the Centers for Medicare & Medicaid Services?

The J. Phyllis Brannen has been assigned the NPI (National Provider Identifier) 1003993874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where J. Phyllis Brannen is physically located?

The J. Phyllis Brannen is situated at the following address: 1503 Pine St, Melbourne, FL 329013120.

What is J. Phyllis Brannen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for J. Phyllis Brannen is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did J. Phyllis Brannen receive its 1003993874 assignment from the Centers for Medicare & Medicaid Services?

The J. Phyllis Brannen was assigned its 1003993874 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding J. Phyllis Brannen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to J. Phyllis Brannen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-26.

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