Healthcare Provider Details

I. General information

NPI: 1003735507
Provider Name (Legal Business Name): BRITTANY LOBBLER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 20TH ST W
JASPER AL
35501-2708
US

IV. Provider business mailing address

PO BOX 1162
JACKSONVILLE AL
36265-5162
US

V. Phone/Fax

Practice location:
  • Phone: 256-239-5662
  • Fax:
Mailing address:
  • Phone: 256-239-5662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6120C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: