Provider Demographics
NPI:1154640910
Name:NEINAST, BRITTA E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRITTA
Middle Name:E
Last Name:NEINAST
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 1:1251 N EDDY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-1478
Mailing Address - Country:US
Mailing Address - Phone:219-286-7258
Mailing Address - Fax:219-286-7262
Practice Address - Street 1:1251 N EDDY ST STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-1478
Practice Address - Country:US
Practice Address - Phone:219-286-7258
Practice Address - Fax:219-286-7262
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006674A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical