Active NPIIndividual provider

Ms. Larissa H Brewster, LCSW

Social Worker, Clinical in Linwood, New Jersey

NPI Number1619103090
Practice location
509 Wilson Avenue, Linwood, NJ 08221
Fax
—
Last updated
October 21, 2024

Larissa H Brewster is a Social Worker, Clinical based in Linwood, NJ. Larissa H Brewster practices in Linwood, NJ and has the professional credentials of LCSW. The NPI Number for Larissa H Brewster is 1619103090 and holds a License No. 44SC05392700 (NJ). The current practice location address for Larissa H Brewster is 509 Wilson Avenue, Linwood, NJ 08221 and can be reached out via phone at 609-226-2164.

Provider Profile Details

NPI Number
1619103090
Provider Name
Larissa H Brewster
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
509 Wilson Avenue, Linwood, NJ 08221
Phone Number
609-226-2164
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Larissa H Boianelli, LCSW (Professional Name)
Provider Enumeration Date
May 30, 2009
Last Update Date
October 21, 2024
Certification Date
October 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 Wilson Avenue
Linwood, NJ 08221
Zip
08221
Phone Number
609-226-2164
Linwood, NJ 08221Get directions →

Provider Business Mailing Address Details

Address
Po Box 247
Linwood, NJ 08221
City
Linwood
State
NJ
Zip
08221
Phone Number
609-226-2164

License Information

License Number
44SC05392700
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Larissa H Brewster, LCSW?

The NPI number of Ms. Larissa H Brewster, LCSW is 1619103090. It was assigned on May 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Larissa H Brewster, LCSW?

Ms. Larissa H Brewster, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05392700.

Where does Ms. Larissa H Brewster, LCSW practice?

The practice location is 509 Wilson Avenue, Linwood, NJ 08221. The office can be reached at 609-226-2164 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619103090 directly on the NPPES registry website.

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