MEDICARE: MS. DEBRA R. BRAESE LCSW

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
1	1041C0700X	Clinical Social Worker	C002368	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316983778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA R. BRAESE LCSW

Provider Business Mailing Address
First Line	:	50 ORANGE ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2341
Country	:	US
Telephone Number	:	828-255-0146
Fax Number	:	828-253-7339

Provider Business Practice Location Address
First Line	:	50 ORANGE ST
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2341
Country	:	US
Telephone Number	:	828-255-0146
Fax Number	:	828-253-7339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/08/2007

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