Provider Demographics
NPI:1821286907
Name:DITCH, BRANDI LEEANN (MSW, LICSW)
Entity Type:Individual
Prefix:MISS
First Name:BRANDI
Middle Name:LEEANN
Last Name:DITCH
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BRIDGE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1883
Mailing Address - Country:US
Mailing Address - Phone:781-320-5343
Mailing Address - Fax:
Practice Address - Street 1:270 BRIDGE ST STE 301
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1883
Practice Address - Country:US
Practice Address - Phone:781-320-5354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-14
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker