Provider Demographics
NPI:1437583739
Name:DROZD, BRITTANY (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:DROZD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:NICOLAIDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:150 WATERMAN ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2125
Mailing Address - Country:US
Mailing Address - Phone:401-441-1626
Mailing Address - Fax:401-383-9133
Practice Address - Street 1:150 WATERMAN ST
Practice Address - Street 2:SUITE G
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2125
Practice Address - Country:US
Practice Address - Phone:401-441-1626
Practice Address - Fax:401-383-9133
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW024831041C0700X
MA2180121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical