Individual
BRIANNA CALLENE MCGIVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
124 RIVER RD, SALINAS, CA 93908-9601
(831) 455-9965
Mailing address
124 RIVER RD, SALINAS, CA 93908-9601
(831) 455-9965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ASW72644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41BW
MEDI-CAL
—
01
—
BWASOCFSP
MEDI-CAL
—
01
—
PRVNBR
MEDI-CAL
—
Enumeration date
05/16/2012
Last updated
04/18/2019
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