Provider Demographics
NPI:1427370212
Name:WARNE-MURPHY, BRITTAINY L (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTAINY
Middle Name:L
Last Name:WARNE-MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRITTAINY
Other - Middle Name:L
Other - Last Name:WARNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3160
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85117-4115
Mailing Address - Country:US
Mailing Address - Phone:480-983-0065
Mailing Address - Fax:480-983-3676
Practice Address - Street 1:564 N IDAHO RD
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85119-4002
Practice Address - Country:US
Practice Address - Phone:480-983-0065
Practice Address - Fax:480-983-3676
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ129421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ498752Medicaid
AZPENDINGMedicare PIN