Healthcare Provider Details

I. General information

NPI: 1467231324
Provider Name (Legal Business Name): AMY COLLEEN BRENNAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W LANCASTER AVE STE 205
DEVON PA
19333-1568
US

IV. Provider business mailing address

131 BRIDGE ST APT 2419
PHOENIXVILLE PA
19460-3696
US

V. Phone/Fax

Practice location:
  • Phone: 908-670-9651
  • Fax:
Mailing address:
  • Phone: 908-670-9651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW023457
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: