Provider Demographics
NPI:1174401921
Name:STEVENSON, BRIAN JOHN (MSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:JOHN
Last Name:STEVENSON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18311 HIGHWOODS PRESERVE PKWY UNIT 1106
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1794
Mailing Address - Country:US
Mailing Address - Phone:201-284-2202
Mailing Address - Fax:
Practice Address - Street 1:18311 HIGHWOODS PRESERVE PKWY UNIT 1106
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-1794
Practice Address - Country:US
Practice Address - Phone:201-284-2202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health