Brantly Harper Iracleanos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61575058 Issued in WA

Practice address

2366 Eastlake Ave E Ste 402
Seattle, WA 98102-3394

Phone

(206) 202-3133

NPI assigned

Jul 15, 2024

Sole proprietor

Yes

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1184461386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NE 75TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154576",
            "telephone_number": "626-660-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023394",
            "telephone_number": "206-202-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRACLEANOS",
        "first_name": "BRANTLY",
        "middle_name": "HARPER",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61575058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Iovino, MD, PHD
• Alane Ip
• Nathan Shing-Tak Ip
• Sarah Ip, LMT
• Mehreen Iqbal, MD
• Hoda Irani, OD
• Shayan Irani, MD
• Jamila Fyrouz Iraqui, LMHC-A
• Noah Charles Ircink
• Laura Michelle Ireland, M.D.

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.