Provider Demographics
NPI:1417424722
Name:TAYLOR-BREWER, CASEY ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:ANN
Last Name:TAYLOR-BREWER
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 1:1675 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-3500
Mailing Address - Country:US
Mailing Address - Phone:775-289-1671
Mailing Address - Fax:775-289-1699
Practice Address - Street 1:705 AVENUE K STE A
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-2701
Practice Address - Country:US
Practice Address - Phone:775-293-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10620-C1041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical