Provider Demographics
NPI:1942710553
Name:BYERLY, BRIAN H (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:H
Last Name:BYERLY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2092 MOSTELLER ESTATE AVE SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-3464
Mailing Address - Country:US
Mailing Address - Phone:828-201-0088
Mailing Address - Fax:
Practice Address - Street 1:2092 MOSTELLER ESTATE AVE SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-3464
Practice Address - Country:US
Practice Address - Phone:828-201-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0117611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC011761OtherNORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD