Provider Demographics
NPI:1083176135
Name:MYERS, BRITTANY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 SHANNON GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8126
Mailing Address - Country:US
Mailing Address - Phone:304-400-7274
Mailing Address - Fax:
Practice Address - Street 1:3919 SHANNON GREEN DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8126
Practice Address - Country:US
Practice Address - Phone:304-400-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.18031991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical