Provider Demographics
NPI:1891074928
Name:SIMBERG, BRITTANI (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:SIMBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1122
Mailing Address - Country:US
Mailing Address - Phone:310-394-6889
Mailing Address - Fax:310-576-1027
Practice Address - Street 1:3435 OCEAN PARK BLVD STE 207
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3314
Practice Address - Country:US
Practice Address - Phone:310-392-9474
Practice Address - Fax:310-392-7341
Is Sole Proprietor?:No
Enumeration Date:2011-08-07
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA763341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical