Provider Demographics
NPI:1114781028
Name:SPRAGG, BRANWEN RHYANNON (LCSW)
Entity Type:Individual
Prefix:
First Name:BRANWEN
Middle Name:RHYANNON
Last Name:SPRAGG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14881 PRAIRIE GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6683
Mailing Address - Country:US
Mailing Address - Phone:810-335-5799
Mailing Address - Fax:
Practice Address - Street 1:14881 PRAIRIE GOLD CIR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6683
Practice Address - Country:US
Practice Address - Phone:810-335-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1141031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical