Provider Demographics
NPI:1275832339
Name:CLOW, BRITTNEY LJ (LISW-CP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:LJ
Last Name:CLOW
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 E NORTH ST STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6206
Mailing Address - Country:US
Mailing Address - Phone:864-326-4696
Mailing Address - Fax:864-660-9542
Practice Address - Street 1:4006 E NORTH ST STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6206
Practice Address - Country:US
Practice Address - Phone:864-326-4696
Practice Address - Fax:864-660-9542
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC112371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical