Provider Demographics
NPI:1215701453
Name:CAFFEY, BRANDI (LCSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:CAFFEY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MISSISSIPPI ST S
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-3025
Mailing Address - Country:US
Mailing Address - Phone:870-208-8499
Mailing Address - Fax:870-208-8044
Practice Address - Street 1:204 MISSISSIPPI ST S
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-3025
Practice Address - Country:US
Practice Address - Phone:870-208-8499
Practice Address - Fax:870-208-8044
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11357-M104100000X
AR11357-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker