Individual
CHANTA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 RICHMOND SQ, PROVIDENCE, RI 02906-5139
(401) 213-1381
(401) 572-3364
Mailing address
1 RICHMOND SQ, PROVIDENCE, RI 02906-5139
(401) 213-1381
(401) 572-3364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
CSW02862
RI
1041C0700X
Clinical Social Worker
Primary
ISW04791
RI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/19/2022
Last updated
04/10/2026
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