Provider Demographics
NPI:1508532086
Name:BRITT, MEGUMI OSAKU (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGUMI
Middle Name:OSAKU
Last Name:BRITT
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 1:2218 HILLRISE AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-5051
Mailing Address - Country:US
Mailing Address - Phone:423-213-1377
Mailing Address - Fax:
Practice Address - Street 1:2218 HILLRISE AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-5051
Practice Address - Country:US
Practice Address - Phone:423-213-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN55291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical