Provider Demographics
NPI:1376137190
Name:CARDO, BRIANNE MONA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:MONA
Last Name:CARDO
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 1:613 COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1552
Mailing Address - Country:US
Mailing Address - Phone:610-858-3832
Mailing Address - Fax:
Practice Address - Street 1:580 SHELBOURNE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9607
Practice Address - Country:US
Practice Address - Phone:610-858-3832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0200811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical