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General NPI Number Information
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NPI Number | 1083393979
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Entity Type | Organization
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Legal Business Name | CASEY BREWER, LCSW, LLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 705 AVENUE K STE A
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City | ELY
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State | NV
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Zip | 89301-2701
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Country | US
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Telephone | 775-293-7428
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 S 80TH W
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City | ELY
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State | NV
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Zip | 89301-9215
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Country | US
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Telephone | 775-293-2426
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | CASEY ANN-TAYLOR BREWER
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Credential | LCSW
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Telephone | 775-293-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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