Provider Demographics
NPI:1134831027
Name:PERRY, BRIANA (LSW)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E LANCASTER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2873
Mailing Address - Country:US
Mailing Address - Phone:610-295-5199
Mailing Address - Fax:610-271-8552
Practice Address - Street 1:21 E LANCASTER AVE STE C
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2873
Practice Address - Country:US
Practice Address - Phone:610-295-5199
Practice Address - Fax:610-271-8552
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138676104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker