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NPI Code Detail

MEDICARE: STACEY BRITTAIN LCSW-S

MEDICARE:   STACEY  BRITTAIN  LCSW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker53017TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153017OTHERTXPROFESSIONAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831581255
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY BRITTAIN LCSW-S
Provider Business Mailing Address
First Line : 6711 STELLA LINK RD # 4662ND
Second Line :
City : WEST UNIVERSITY PLACE
State : TX
Zip : 77005-4342
Country : US
Telephone Number : 281-782-6279
Fax Number : 832-356-2743
Provider Business Practice Location Address
First Line : 1941 EAST RD
Second Line : 2ND FLOOR
City : HOUSTON
State : TX
Zip : 77054-6010
Country : US
Telephone Number : 713-486-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2015
Last Update Date : 06/28/2023

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Directions to “ STACEY BRITTAIN LCSW-S” Practice Location

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