Provider Demographics
NPI:1558309633
Name:BRISCOE, CLAIRE ELAINE (LCSW - C)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ELAINE
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:LCSW - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10027 FREDERICK AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3402
Mailing Address - Country:US
Mailing Address - Phone:301-942-3237
Mailing Address - Fax:301-942-2047
Practice Address - Street 1:10027 FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3402
Practice Address - Country:US
Practice Address - Phone:301-942-3237
Practice Address - Fax:301-942-2047
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD118002Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER