Provider Demographics
NPI:1376700252
Name:GROSSMAN, BRIAR (MSW)
Entity Type:Individual
Prefix:
First Name:BRIAR
Middle Name:
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20969 VENTURA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2305
Mailing Address - Country:US
Mailing Address - Phone:310-863-4800
Mailing Address - Fax:818-222-8733
Practice Address - Street 1:20969 VENTURA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2305
Practice Address - Country:US
Practice Address - Phone:310-863-4800
Practice Address - Fax:818-222-8733
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS146551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical