Provider Demographics
NPI:1154450971
Name:ENGRAV, BRITT (DSW, MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:
Last Name:ENGRAV
Suffix:
Gender:F
Credentials:DSW, MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5428 ALDRICH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1732
Mailing Address - Country:US
Mailing Address - Phone:714-944-8631
Mailing Address - Fax:
Practice Address - Street 1:2700 SNELLING AVE N STE 400
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1783
Practice Address - Country:US
Practice Address - Phone:763-525-9919
Practice Address - Fax:763-486-4436
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2022-09-08
Deactivation Date:2019-03-11
Deactivation Code:
Reactivation Date:2021-09-02
Provider Licenses
StateLicense IDTaxonomies
MN20784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health