Provider Demographics
NPI:1619666138
Name:VELIE SILVERBERG, BRIANNA (LSW)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:VELIE SILVERBERG
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:VELIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4360 MONTEBELLO DR STE 400
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7224
Mailing Address - Country:US
Mailing Address - Phone:719-425-8709
Mailing Address - Fax:
Practice Address - Street 1:4360 MONTEBELLO DR STE 400
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7224
Practice Address - Country:US
Practice Address - Phone:719-425-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009923317104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker