Individual provider · Type 1 NPI

J. Phyllis Brannen, LCSW, CAP

Clinical Social Worker · Melbourne, FL

NPI number 1003993874 Active

Practice location

1503 Pine St
Melbourne, FL 32901-3120

Call (321) 953-3225 Map

Fax (321) 953-3252

Mailing address

146 San Juan Cir
Melbourne, FL 32935-5419

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	CAP 2553 (FL)
Clinical Social Worker Primary	1041C0700X	SW6239 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003993874

J. Phyllis Brannen, LCSW, CAP's National Provider Identifier is 1003993874, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melbourne, FL. The record was last updated on Nov 26, 2007.