Provider Demographics
NPI:1720787328
Name:BROSSART, BRITTNEY LYNN (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
Last Name:BROSSART
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:LYNN
Other - Last Name:BROSSART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LGSW
Mailing Address - Street 1:201 N GEORGE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-1574
Mailing Address - Country:US
Mailing Address - Phone:681-252-1632
Mailing Address - Fax:
Practice Address - Street 1:201 N GEORGE ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1574
Practice Address - Country:US
Practice Address - Phone:681-252-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009460561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical