Lindsey Nicole Brevig, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

67475 Issued in TX

Practice address

4444 W Main St
League City, TX 77573-1737

Phone

(409) 763-2373

Fax

(409) 978-2401

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1093583999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731737",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVIG",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in League City, TX
• Providers in League City, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.