Bryennt Small
Individual provider Active NPI Social Worker · Geneva, OH
NPI 1619689767 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1619689767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 376 Mechanicsville Rd
Geneva, OH 44041-9630 - Phone
- (216) 333-9697
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
376 Mechanicsville Rd
Geneva, OH 44041-9630
Mailing address
376 Mechanicsville Rd
Geneva, OH 44041-9630
Phone (216) 333-9697
Other providers in Geneva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 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.