Provider Demographics
NPI:1013468750
Name:BREWINGTON, BRIAN SCOTT (LCSW)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:SCOTT
Last Name:BREWINGTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 SANTOS LN APT 1721
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-7901
Mailing Address - Country:US
Mailing Address - Phone:757-525-5191
Mailing Address - Fax:
Practice Address - Street 1:1605 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1215
Practice Address - Country:US
Practice Address - Phone:510-923-1099
Practice Address - Fax:510-350-8793
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000023201041C0700X
VA09040142121041C0700X
MA1231101041C0700X
CA1241511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical