Ms J Phyllis Brannen, LCSW, CAP is a
Social Worker - Clinical based in Melbourne, Florida. Ms J Phyllis Brannen is licensed to practice in Florida (license number SW6239) and her current practice location is
1503 Pine St, Melbourne, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 953-3225.
NPI number for Ms J Phyllis Brannen is 1003993874 and her current mailing address is 146 San Juan Cir, Melbourne, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003993874.
Healthcare Provider's Profile
| Full Name | Ms J Phyllis Brannen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1503 Pine St, Melbourne, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003993874
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 11/26/2007
Medical Identifiers
Medical identifiers for Ms J Phyllis Brannen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003993874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 2553 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW6239 (Florida) | 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. Ms J Phyllis Brannen 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 |
|---|
Ms J Phyllis Brannen, LCSW, CAP
146 San Juan Cir,
Melbourne, FL 32935-5419
Ph: (321) 255-5426 | Ms J Phyllis Brannen, LCSW, CAP
1503 Pine St,
Melbourne, FL 32901-3120
Ph: (321) 953-3225 |
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