Provider Demographics
NPI:1265209944
Name:BRAWNER, CASEY (LCSWA)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:BRAWNER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:LANGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 BRIDGHAM PL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-4509
Mailing Address - Country:US
Mailing Address - Phone:262-951-0432
Mailing Address - Fax:
Practice Address - Street 1:704 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2626
Practice Address - Country:US
Practice Address - Phone:919-737-7797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0187031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical