Provider Demographics
NPI:1043319544
Name:BRKIC, SELMA (LISW, CADC)
Entity Type:Individual
Prefix:
First Name:SELMA
Middle Name:
Last Name:BRKIC
Suffix:
Gender:F
Credentials:LISW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 8TH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2649
Mailing Address - Country:US
Mailing Address - Phone:515-276-6338
Mailing Address - Fax:515-598-7452
Practice Address - Street 1:1308 8TH ST STE 5
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2649
Practice Address - Country:US
Practice Address - Phone:515-276-6338
Practice Address - Fax:515-598-7452
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical