Brandi Garlich, LCSW
Individual provider Active NPI Clinical Social Worker · Maryville, IL
NPI 1457796765 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1457796765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.017457 (IL)
- Practice address
- 3 Oak Dr Ste B
Maryville, IL 62062-5635 - Phone
- (217) 549-5889
- NPI assigned
- May 1, 2013
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017457 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.017457 | IL | Yes |
Addresses
Primary practice location
3 Oak Dr Ste B
Maryville, IL 62062-5635
Mailing address
3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone (217) 549-5889
Other practice location 1
350 N Main St
Hoyleton, IL 62803-2006
Phone (618) 493-7382 ext. 1278
Other names
- Ms. Brandi Cummins
Other providers in Maryville, IL
- Megan Rae Fulling
- G & G Anesthesia LLC
- Kelley Marie Gaither
- Marjorie Kaye Garcia
- Melanie Garland
- Jamie Lee Garman
- Kevin Bradley Garner
- Courtney Leigh Garrison
- Rachel Nicole Gaudreault
- Kelly Jester Geldmacher
All providers in Maryville, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.