Provider Demographics
NPI:1649907718
Name:BUCHANAN, BRITTNEY MARIA (LSW)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MARIA
Last Name:BUCHANAN
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 1:517 WOODLAWN RD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1451
Mailing Address - Country:US
Mailing Address - Phone:615-971-4759
Mailing Address - Fax:
Practice Address - Street 1:3136 WEST ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4637
Practice Address - Country:US
Practice Address - Phone:304-748-3925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.22081341041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool