Provider Demographics
NPI:1366130684
Name:PLAISTED, BRITTNEY (CLINICAL SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:PLAISTED
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 BLUECREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-5226
Mailing Address - Country:US
Mailing Address - Phone:775-397-5027
Mailing Address - Fax:
Practice Address - Street 1:1042 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-3948
Practice Address - Country:US
Practice Address - Phone:775-388-3787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-21781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty