Provider Demographics
NPI:1811623143
Name:SEWERS, BRANDYN LEE (LISW-CP)
Entity type:Individual
Prefix:MR
First Name:BRANDYN
Middle Name:LEE
Last Name:SEWERS
Suffix:
Gender:X
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 CARTERET ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6072
Mailing Address - Country:US
Mailing Address - Phone:839-223-5729
Mailing Address - Fax:
Practice Address - Street 1:115 ATRIUM WAY STE 221
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6383
Practice Address - Country:US
Practice Address - Phone:844-587-3433
Practice Address - Fax:803-699-8824
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16559104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker