Provider Demographics
NPI:1134287568
Name:HERB, BRETT E (LCSW)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:E
Last Name:HERB
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:BRETT
Other - Middle Name:
Other - Last Name:HERB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MAP 2, SUITE 1201
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-623-4330
Practice Address - Fax:302-623-4338
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100008401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000040826OtherDSP PROVIDER ID NUMBER
DE1000040826OtherDSP PROVIDER ID NUMBER