Healthcare Provider Details

I. General information

NPI: 1306457338
Provider Name (Legal Business Name): BRIANA MARIE WASHINGTON LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5448 APEX PEAKWAY STE 146
APEX NC
27502-3924
US

IV. Provider business mailing address

5448 APEX PEAKWAY STE 146
APEX NC
27502-3924
US

V. Phone/Fax

Practice location:
  • Phone: 304-729-4965
  • Fax:
Mailing address:
  • Phone: 304-729-4965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberC018670
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberDP00945706
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: