Provider Demographics
NPI:1417424722
Name:BREWER, CASEY ANN-TAYLOR (LCSW)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:ANN-TAYLOR
Last Name:BREWER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 AVENUE K STE A
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-2732
Mailing Address - Country:US
Mailing Address - Phone:775-293-7428
Mailing Address - Fax:775-898-0060
Practice Address - Street 1:705 AVENUE K STE A
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-2701
Practice Address - Country:US
Practice Address - Phone:775-293-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10620-C1041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical