Provider Demographics
NPI:1992342869
Name:EGAN, BRITTANY D (MSW, LICSW, CCTP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:EGAN
Suffix:
Gender:F
Credentials:MSW, LICSW, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 SEMINARY RD APT 916
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1934
Mailing Address - Country:US
Mailing Address - Phone:734-731-1703
Mailing Address - Fax:
Practice Address - Street 1:5021 SEMINARY RD APT 916
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1934
Practice Address - Country:US
Practice Address - Phone:734-731-1703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500823221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical