Individual
KAY ELAINE GORDON BREWSTER
Active
Individual
KAY ELAINE GORDON BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013252
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112220
VALUE OPTIONS
PA
01
—
201297000
MAGELLAN
PA
01
—
209106
UPMC
PA
01
—
536029
BLUE SHIELD
PA
01
—
536029ZDEJ
MEDICARE PTAN
PA
01
—
P00207108
RAILROAD MEDICARE
PA
01
—
P028831
CHAMPUS
PA
Enumeration date
07/12/2006
Last updated
05/27/2009
Update your record
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