Provider Demographics
NPI:1437321221
Name:FRISBY, BRANDIE MICHELLE (LICSW)
Entity Type:Individual
Prefix:
First Name:BRANDIE
Middle Name:MICHELLE
Last Name:FRISBY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 W CLEARWATER AVE STE K
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1720
Mailing Address - Country:US
Mailing Address - Phone:509-956-4616
Mailing Address - Fax:509-210-5714
Practice Address - Street 1:6855 W CLEARWATER AVE STE K
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1720
Practice Address - Country:US
Practice Address - Phone:509-956-4616
Practice Address - Fax:509-210-5714
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000095081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical