Provider Demographics
NPI:1346881745
Name:THATCHER, BRIANA (LCSW)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:THATCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:319 BARBERTOWN IDELL RD
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-4023
Mailing Address - Country:US
Mailing Address - Phone:908-892-0293
Mailing Address - Fax:
Practice Address - Street 1:319 BARBERTOWN IDELL RD
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-4023
Practice Address - Country:US
Practice Address - Phone:908-892-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060097001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical