Provider Demographics
NPI:1912668146
Name:PROMES, BRITTANY ANN (LMSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:PROMES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2125
Mailing Address - Country:US
Mailing Address - Phone:641-715-1183
Mailing Address - Fax:
Practice Address - Street 1:9 2ND ST NW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3201
Practice Address - Country:US
Practice Address - Phone:641-422-0070
Practice Address - Fax:641-422-0060
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111060104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker