Provider Demographics
NPI:1972556520
Name:TOOLE, BRIANNE K (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:K
Last Name:TOOLE
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 1:1415 PANTHER LN
Mailing Address - Street 2:SUITE 243
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7874
Mailing Address - Country:US
Mailing Address - Phone:239-591-6602
Mailing Address - Fax:239-591-6603
Practice Address - Street 1:1415 PANTHER LN
Practice Address - Street 2:SUITE 243
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7874
Practice Address - Country:US
Practice Address - Phone:239-591-6602
Practice Address - Fax:239-591-6603
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW81431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical