Provider Demographics
NPI:1154640910
Name:NEINAST, BRITTA E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BRITTA
Middle Name:E
Last Name:NEINAST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 E IRELAND RD # 1058
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46614-3446
Mailing Address - Country:US
Mailing Address - Phone:219-286-7258
Mailing Address - Fax:219-286-7262
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:219-286-7258
Practice Address - Fax:219-286-7262
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006674A1041C0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical