Provider Demographics
NPI:1245565910
Name:PIERSON, BRAD ALLAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BRAD
Middle Name:ALLAN
Last Name:PIERSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:B. A.
Other - Middle Name:
Other - Last Name:PIERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2652 BARTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4536
Mailing Address - Country:US
Mailing Address - Phone:512-658-5832
Mailing Address - Fax:
Practice Address - Street 1:2652 BARTON HILLS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4536
Practice Address - Country:US
Practice Address - Phone:512-658-5832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX511073101Y00000X
TXS-110731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor