Provider Demographics
NPI:1689342768
Name:EHMAN, BRION (LMSW)
Entity Type:Individual
Prefix:MR
First Name:BRION
Middle Name:
Last Name:EHMAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 CLINTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-6501
Mailing Address - Country:US
Mailing Address - Phone:585-360-7008
Mailing Address - Fax:
Practice Address - Street 1:144 CLINTWOOD CT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-6501
Practice Address - Country:US
Practice Address - Phone:585-360-7008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105764104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker