Provider Demographics
NPI:1568028538
Name:RICE, BRIANNA LEIGH (MSW, LSWAIC)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:LEIGH
Last Name:RICE
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 23RD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-3023
Mailing Address - Country:US
Mailing Address - Phone:206-910-2133
Mailing Address - Fax:
Practice Address - Street 1:15710 NE 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2444
Practice Address - Country:US
Practice Address - Phone:425-941-9540
Practice Address - Fax:425-502-6229
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC608915211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical