Provider Demographics
NPI:1982218590
Name:MEADE, BRIANNE A (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:A
Last Name:MEADE
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 1:3279 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1860
Mailing Address - Country:US
Mailing Address - Phone:862-268-2478
Mailing Address - Fax:
Practice Address - Street 1:3279 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1860
Practice Address - Country:US
Practice Address - Phone:862-268-2478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06060700104100000X
NJ44SC059598001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker