Healthcare Provider Details

I. General information

NPI: 1457067209
Provider Name (Legal Business Name): BRITTANY KERVICK LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LAUREL RD STE 102
VOORHEES NJ
08043-8301
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-772-5809
  • Fax:
Mailing address:
  • Phone: 855-932-7476
  • Fax: 856-566-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL05760300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: