Individual
BRIAN BROSNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13157 RIVERSIDE DR APT 103, SHERMAN OAKS, CA 91423-2147
(910) 233-6150
Mailing address
13157 RIVERSIDE DR APT 103, SHERMAN OAKS, CA 91423-2147
(910) 233-6150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C004936
NC
1041C0700X
Clinical Social Worker
Primary
LCSW112491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139RU
BCBS NC
NC
05
—
6003506
—
NC
Enumeration date
08/25/2005
Last updated
02/24/2023
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