Brieanne Marie Jennings, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013215029
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1013215029
- Entity type
- Individual (NPI-1)
- Name
- Brieanne Marie Jennings
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2011
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 83626 | CA | Yes |
Practice location
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone 626-872-3644
Mailing address
1700 Fair Oaks Ave Apt ASouth Pasadena, CA 91030-4729
Phone 626-872-3644
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