Provider Demographics
NPI:1821103532
Name:RASH, BRETT A (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:A
Last Name:RASH
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7491 EDINGER AVE UNIT 209
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7893
Mailing Address - Country:US
Mailing Address - Phone:714-421-6027
Mailing Address - Fax:
Practice Address - Street 1:5060 SHOREHAM PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5903
Practice Address - Country:US
Practice Address - Phone:858-326-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IN34005900A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical