Provider Demographics
NPI:1700094950
Name:WHITNEY, BRIAN GARY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:GARY
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 E 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6164
Mailing Address - Country:US
Mailing Address - Phone:303-728-4315
Mailing Address - Fax:303-728-4315
Practice Address - Street 1:6795 E TENNESSEE AVE
Practice Address - Street 2:#406
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1659
Practice Address - Country:US
Practice Address - Phone:303-728-4315
Practice Address - Fax:303-728-4315
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO009924451041C0700X
CO9924451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical