Polly Elaine Brannen in Austin - Clinical
Polly Elaine Brannen - NPI 1578782595
Polly Elaine Brannen is a Clinical in Austin, Texas. Polly Elaine Brannen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Polly Elaine Brannen is 1578782595. The last update date is 2007-07-08.
Polly Elaine Brannen's current location address is 3625 Manchaca Rd, Austin, Texas. You can contact this provider via phone number 5126897188. The mailing address for Polly Elaine Brannen is 3625 Manchaca Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Polly Elaine Brannen |
|---|---|
| Address | 3625 Manchaca Rd, Austin, Texas |
| Phone Number | 5126897188 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578782595 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3625 Manchaca Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 78704 |
| Phone Number | 5126897188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 19909 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0038LV | BCBS | ||
| 81091W | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Polly Elaine Brannen by the Centers for Medicare & Medicaid Services?
The Polly Elaine Brannen has been assigned the NPI (National Provider Identifier) 1578782595 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Polly Elaine Brannen is geographically located?
The Polly Elaine Brannen is physically situated at the following location: 3625 Manchaca Rd, Austin, TX, 78704.
What is the Polly Elaine Brannen's specialty and taxonomy code?
The Polly Elaine Brannen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Polly Elaine Brannen receive its 1578782595 assignment from the Centers for Medicare & Medicaid Services?
The Polly Elaine Brannen was assigned its 1578782595 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Polly Elaine Brannen most recently updated or revised?
The details related to Polly Elaine Brannen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.