Healthcare Provider Details

I. General information

NPI: 1649197849
Provider Name (Legal Business Name): BREANNE NELSON LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 CREEK VIEW DR
HOT SPRINGS NC
28743-7176
US

IV. Provider business mailing address

289 CREEK VIEW DR
HOT SPRINGS NC
28743-7176
US

V. Phone/Fax

Practice location:
  • Phone: 828-206-2919
  • Fax:
Mailing address:
  • Phone: 828-206-2919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023812
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: