Provider Demographics
NPI:1356555049
Name:FURNIS-LAWRENCE, BRIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BRIE
Middle Name:
Last Name:FURNIS-LAWRENCE
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 1:5000 WINDPLAY DR STE 2
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9319
Mailing Address - Country:US
Mailing Address - Phone:530-417-7920
Mailing Address - Fax:
Practice Address - Street 1:5000 WINDPLAY DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9318
Practice Address - Country:US
Practice Address - Phone:530-417-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW701611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical