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NPI Code Detail

MEDICARE: KAITLYN N BRAZELTON MSW

MEDICARE: KAITLYN N BRAZELTON 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
11041C0700XClinical Social WorkerS.2613943OH

General Provider Information

NPI Number : 1881315067
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN N BRAZELTON MSW
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-0276
Fax Number : 330-759-0030
Provider Business Practice Location Address
First Line : 520 YOUNGSTOWN POLAND RD
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-1103
Country : US
Telephone Number : 330-318-3078
Fax Number : 234-855-1072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 05/28/2026

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Directions to “ KAITLYN N BRAZELTON MSW” Practice Location

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