Healthcare Provider Details

I. General information

NPI: 1609602515
Provider Name (Legal Business Name): BRIANNA STREIN MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 MOUNTAIN LAUREL VLG
SPRING BROOK TOWNSHIP PA
18444-6372
US

IV. Provider business mailing address

1521 CEDAR CLIFF DR STE 200
CAMP HILL PA
17011-7706
US

V. Phone/Fax

Practice location:
  • Phone: 570-591-8309
  • Fax:
Mailing address:
  • Phone: 484-509-1079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW142046
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: