Provider Demographics
NPI:1770809980
Name:DECOTEAU, BRITTANY JEAN (LCSW, CSAC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JEAN
Last Name:DECOTEAU
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:JEAN
Other - Last Name:SABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 SILVER LAKE RD NW STE 110
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-1789
Mailing Address - Country:US
Mailing Address - Phone:651-628-9566
Mailing Address - Fax:651-628-0411
Practice Address - Street 1:1001 FOURIER DR STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1958
Practice Address - Country:US
Practice Address - Phone:608-740-2001
Practice Address - Fax:608-740-2002
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9778-123101YA0400X, 1041C0700X
COACB.0008355104100000X
MN337801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker