Provider Demographics
NPI:1588824650
Name:SIMPSON, BREATA LEA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BREATA
Middle Name:LEA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-3512
Mailing Address - Country:US
Mailing Address - Phone:916-997-4519
Mailing Address - Fax:916-929-5116
Practice Address - Street 1:1001 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838-3512
Practice Address - Country:US
Practice Address - Phone:916-997-4519
Practice Address - Fax:916-929-5116
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker