Provider Demographics
NPI:1053290288
Name:BROWN, BRYANNA KEISHELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BRYANNA
Middle Name:KEISHELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BRYANNA
Other - Middle Name:KEISHELLE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:UNAPPLICABLE
Mailing Address - Street 1:12065 WINSBERRY PL
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-3784
Mailing Address - Country:US
Mailing Address - Phone:757-600-3706
Mailing Address - Fax:
Practice Address - Street 1:12065 WINSBERRY PL
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-3784
Practice Address - Country:US
Practice Address - Phone:757-600-3706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040176131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical