Provider Demographics
NPI:1497705495
Name:EVANS, BRIANA CARA (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:CARA
Last Name:EVANS
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 1:8950 VILLA LA JOLLA DR
Mailing Address - Street 2:SUITE A219
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1714
Mailing Address - Country:US
Mailing Address - Phone:858-449-2563
Mailing Address - Fax:858-695-3501
Practice Address - Street 1:8950 VILLA LA JOLLA DR
Practice Address - Street 2:SUITE A219
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1714
Practice Address - Country:US
Practice Address - Phone:858-449-2563
Practice Address - Fax:858-695-3501
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS220411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical