Healthcare Provider Details

I. General information

NPI: 1740770288
Provider Name (Legal Business Name): BRITTANY L FEFFER LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY L CORESSEL LSW

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W HIGH ST STE E
BRYAN OH
43506-3521
US

IV. Provider business mailing address

2610 CARPENTER RD
DEFIANCE OH
43512-9795
US

V. Phone/Fax

Practice location:
  • Phone: 419-980-5043
  • Fax:
Mailing address:
  • Phone: 419-980-5043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2304437
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: