Provider Demographics
NPI:1538891254
Name:BRUMFIELD, BRIA DEVAY (LCSW)
Entity type:Individual
Prefix:
First Name:BRIA
Middle Name:DEVAY
Last Name:BRUMFIELD
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 1:195 N HARBOR DR APT 308
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7515
Mailing Address - Country:US
Mailing Address - Phone:773-954-0797
Mailing Address - Fax:
Practice Address - Street 1:195 N HARBOR DR APT 308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7515
Practice Address - Country:US
Practice Address - Phone:773-954-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149024291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical