Kelly Brachman, MSW is a
Social Worker - Clinical based in Vancouver, Washington. Kelly Brachman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1701 E Evergreen Blvd, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 605-2629.
NPI number for Kelly Brachman is 1962884478 and her current mailing address is 16420 Se Mcgillivray Blvd Ste 103-535, Vancouver, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962884478.
Healthcare Provider's Profile
| Full Name | Kelly Brachman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1701 E Evergreen Blvd, Vancouver, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962884478
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 04/25/2023
Medical Identifiers
Medical identifiers for Kelly Brachman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962884478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | LW60794656 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Brachman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelly Brachman, MSW 16420 Se Mcgillivray Blvd Ste 103-535, Vancouver, WA 98683-3461 Ph: (360) 605-2629 | Kelly Brachman, MSW 1701 E Evergreen Blvd, Vancouver, WA 98661-4289 Ph: (360) 605-2629 |
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