Fern Bryan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34294 Issued in TX

Practice address

4660 Beechnut St
Suite 226
Houston, TX 77096-1824

Phone

(832) 413-1014

NPI assigned

May 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Fern M Bryan Other name

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": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1174969091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST",
            "address_2": "SUITE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961824",
            "telephone_number": "832-413-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST",
            "address_2": "SUITE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961824",
            "telephone_number": "832-413-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "FERN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34294",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERN",
            "last_name": "BRYAN",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan J. Sweeney, PH.D., P.C.
• Bryan Opticians
• Bryan T Le DDS PA
• Kwamena Bryan-Sackey
• Brenna Bryan
• Jeffrey Christopher Bryan, PHARM.D.
• Julian Bryan, MD
• Richard Armond Bryan, MD
• Rose Beth Bryan, M.A., CCC-SLP
• Sheri Bryan, M.A., SLP-CF

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.