Brosnan, Brian

Brosnan, Brian is an individual health care provider with primary practice located at 13157 Riverside Dr Apt 103 , Sherman Oaks CA 91423-2147. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brosnan, Brian can be contacted via phone (910) 233-6150.

Contact Information

Primary practice address
13157 Riverside Dr Apt 103 Sherman Oaks CA 91423-2147
Phone: (910) 233-6150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004936 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW112491 California

Profile Details

NPI number 1538152467
LBN Legal business name Brosnan, Brian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Feb 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538152467 NPPES
North Carolina Other 139RU BCBS NC
North Carolina MEDICAID 6003506 BCBS NC

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