Provider Demographics
NPI:1447959382
Name:COLLINSWORTH, BRITTANY NICHOLE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:NICHOLE
Last Name:COLLINSWORTH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:213 ASHLEY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7626
Mailing Address - Country:US
Mailing Address - Phone:317-640-6773
Mailing Address - Fax:
Practice Address - Street 1:201 DUFFIE DRIVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2558
Practice Address - Country:US
Practice Address - Phone:803-359-5018
Practice Address - Fax:803-359-1509
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC134134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker