Healthcare Provider Details

I. General information

NPI: 1467155515
Provider Name (Legal Business Name): BRIANNE MARIE GERHARD LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 S EASTON RD STE 230
DOYLESTOWN PA
18901-7103
US

IV. Provider business mailing address

14 YORK ST
NEWTOWN PA
18940-1472
US

V. Phone/Fax

Practice location:
  • Phone: 888-224-7312
  • Fax:
Mailing address:
  • Phone: 267-760-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027817
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: