NPI 1902335821 · live from the CMS NPI Registry
Brian Anthony, LCSW, LICSW
Social Worker, Clinical in Albuquerque, NM. National Provider Identifier 1902335821, active.
NPI record
| NPI | 1902335821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2424 Juan Tabo Blvd Ne, Albuquerque, NM 87112 |
| Practice phone | 505-317-3792 |
| Enumerated | June 5, 2017 |
| Last updated | January 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | C-11377 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.