Provider Demographics
NPI:1740066117
Name:MARCUS, BRITTANY LYN (MSW, CPSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYN
Last Name:MARCUS
Suffix:
Gender:F
Credentials:MSW, CPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9377 NIGHT SKY LN NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-1256
Mailing Address - Country:US
Mailing Address - Phone:505-449-7153
Mailing Address - Fax:
Practice Address - Street 1:10138 BOSQUE CIR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-8827
Practice Address - Country:US
Practice Address - Phone:505-449-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker