Provider Demographics
NPI:1184660425
Name:BRAUN, DANIEL SCOTT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:SCOTT
Last Name:BRAUN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4823 N ROYAL ATLANTA DR STE C
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-3806
Mailing Address - Country:US
Mailing Address - Phone:770-939-2121
Mailing Address - Fax:770-939-2121
Practice Address - Street 1:4823 N ROYAL ATLANTA DR STE C
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-3806
Practice Address - Country:US
Practice Address - Phone:770-939-2121
Practice Address - Fax:770-939-2121
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5382231-35011041C0700X
GACSW0052761041C0700X
AL3718C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical