Provider Demographics
NPI:1295132181
Name:PELLESCHI, BREANNA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:PELLESCHI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 FOURTH AVE
Mailing Address - Street 2:ROOM 108
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19902
Mailing Address - Country:US
Mailing Address - Phone:302-577-5514
Mailing Address - Fax:
Practice Address - Street 1:719 FOURTH AVE
Practice Address - Street 2:ROOM 108
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19902-5003
Practice Address - Country:US
Practice Address - Phone:302-677-5514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00121601041C0700X
PACW020551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical