Provider Demographics
NPI:1518545821
Name:WALUGEMBE, BRITTANY MONIQUE (LSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MONIQUE
Last Name:WALUGEMBE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 SHADWELL DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-5041
Mailing Address - Country:US
Mailing Address - Phone:614-328-6640
Mailing Address - Fax:
Practice Address - Street 1:2837 SHADWELL DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-5041
Practice Address - Country:US
Practice Address - Phone:614-328-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
OHS.2309784104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No251B00000XAgenciesCase Management