Provider Demographics
NPI:1083393979
Name:CASEY BREWER, LCSW, LLC
Entity Type:Organization
Organization Name:CASEY BREWER, LCSW, LLC
Other - Org Name:CASEY BREWER, LCSW, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TAYLOR-BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:775-293-7428
Mailing Address - Street 1:1074 S 80TH W
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-9215
Mailing Address - Country:US
Mailing Address - Phone:775-293-2426
Mailing Address - Fax:
Practice Address - Street 1:705 AVENUE K STE A
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-2701
Practice Address - Country:US
Practice Address - Phone:775-293-7428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty