Provider Demographics
NPI:1922352426
Name:EMBACHER, BRANDI L (MSW)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:L
Last Name:EMBACHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 RIVER PARK DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7829
Mailing Address - Country:US
Mailing Address - Phone:507-380-9557
Mailing Address - Fax:507-625-6311
Practice Address - Street 1:510 LONG ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4397
Practice Address - Country:US
Practice Address - Phone:507-625-4884
Practice Address - Fax:507-625-6311
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker