Provider Demographics
NPI:1851050405
Name:WERRE, BRITTANY (LICSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WERRE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:6085 LINCOLN DR APT 118
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-1631
Mailing Address - Country:US
Mailing Address - Phone:952-807-3285
Mailing Address - Fax:
Practice Address - Street 1:7945 STONE CREEK DR STE 140
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4606
Practice Address - Country:US
Practice Address - Phone:833-677-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN264781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical