Healthcare Provider Details

I. General information

NPI: 1730769217
Provider Name (Legal Business Name): BRITTANY NICOLE GRIEBLING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 W ASHLAND ST SUITE 202
DOYLESTOWN PA
18901
US

IV. Provider business mailing address

3700 N 1ST AVE APT 2053
TUCSON AZ
85719-1654
US

V. Phone/Fax

Practice location:
  • Phone: 760-994-4990
  • Fax:
Mailing address:
  • Phone: 661-205-5459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021002L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-19050
License Number StateAZ

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: