Provider Demographics
NPI:1992522635
Name:BRINKLEY, REESE CONNOR (LMSW)
Entity type:Individual
Prefix:
First Name:REESE
Middle Name:CONNOR
Last Name:BRINKLEY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7122 STONEWALL HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1926
Mailing Address - Country:US
Mailing Address - Phone:210-404-9696
Mailing Address - Fax:
Practice Address - Street 1:7122 STONEWALL HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-1926
Practice Address - Country:US
Practice Address - Phone:210-404-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker