Provider Demographics
NPI:1063058329
Name:CAST-CLIFTON, BRIANA ELIZABETH (LICSW)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:ELIZABETH
Last Name:CAST-CLIFTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:ELIZABETH
Other - Last Name:CAST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:95 UNIVERSITY AVE UNIT 2363
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2386
Mailing Address - Country:US
Mailing Address - Phone:781-363-6498
Mailing Address - Fax:
Practice Address - Street 1:45 SHAWMUT RD STE 3B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1400
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1240641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical