Provider Demographics
NPI:1932333051
Name:GIDDENS, BRIANA (LCSW, LICSW, ATR)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:GIDDENS
Suffix:
Gender:F
Credentials:LCSW, LICSW, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 GLENRIDGE DR UNIT 421784
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-7571
Mailing Address - Country:US
Mailing Address - Phone:678-753-4790
Mailing Address - Fax:678-730-3937
Practice Address - Street 1:10 GLENLAKE PKWY STE 130
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3495
Practice Address - Country:US
Practice Address - Phone:678-753-4790
Practice Address - Fax:678-730-3937
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1191081041C0700X
FLSW 86191041C0700X
GACSW0038571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical