Dynitia Brimm
Individual provider Active NPI Clinical Social Worker · Crawfordville, FL
NPI 1386771202 · NPPES record last updated Nov 1, 2014
Key facts
- NPI
- 1386771202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW4772 (FL)
- Practice address
- 129 Revell Rd
Crawfordville, FL 32327-2417 - Phone
- (850) 926-2921
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW4772 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW4772 | FL | Yes |
Addresses
Primary practice location
129 Revell Rd
Crawfordville, FL 32327-2417
Mailing address
129 Revell Rd
Crawfordville, FL 32327-2417
Phone (850) 926-2921
Other providers in Crawfordville, FL
- Kelli Campbell Bell
- Leah Ann Benoza
- Thomas A. Bentley
- Richard Bramblett
- Sherry Marie Bramblett
- Linda Marie Broga
- Christie Brooks
- Patrick Ryan Brooks
- Aun-Drey Brown
- Vickie Diane Brown
All providers in Crawfordville, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.