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NPI Code Detail

MEDICARE: MR. BRIAN JOHN STEVENSON MSW

MEDICARE:  MR. BRIAN JOHN STEVENSON  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174401921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN JOHN STEVENSON MSW
Provider Business Mailing Address
First Line : 18311 HIGHWOODS PRESERVE PKWY UNIT 1106
Second Line :
City : TAMPA
State : FL
Zip : 33647-1794
Country : US
Telephone Number : 201-284-2202
Fax Number :
Provider Business Practice Location Address
First Line : 18311 HIGHWOODS PRESERVE PKWY UNIT 1106
Second Line :
City : TAMPA
State : FL
Zip : 33647-1794
Country : US
Telephone Number : 201-284-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2025
Last Update Date : 08/21/2025

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Directions to “ MR. BRIAN JOHN STEVENSON MSW” Practice Location

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