Provider Demographics
NPI:1528269750
Name:BRITT, GAIL LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:LEE
Last Name:BRITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:47 MAPLE ST
Mailing Address - Street 2:L28
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2571
Mailing Address - Country:US
Mailing Address - Phone:908-918-1847
Mailing Address - Fax:908-273-3375
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:L28
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2571
Practice Address - Country:US
Practice Address - Phone:908-918-1847
Practice Address - Fax:908-273-3375
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002827001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical