Provider Demographics
NPI:1679365522
Name:STAMM, BRITTANY (LSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:STAMM
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:BRITTNAY
Other - Middle Name:
Other - Last Name:BANDY NELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 FRANKLIN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-1160
Mailing Address - Country:US
Mailing Address - Phone:724-991-1289
Mailing Address - Fax:725-498-0527
Practice Address - Street 1:120 FRANKLIN ST STE 1B
Practice Address - Street 2:
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-1160
Practice Address - Country:US
Practice Address - Phone:724-991-1289
Practice Address - Fax:725-498-0527
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW142697104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker