Provider Demographics
NPI:1538228382
Name:MURRAY, BRIAN A (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:A
Last Name:MURRAY
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 1:21 HOOVER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4651
Mailing Address - Country:US
Mailing Address - Phone:845-344-1358
Mailing Address - Fax:
Practice Address - Street 1:1997 ROUTE 17M
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-5229
Practice Address - Country:US
Practice Address - Phone:845-551-2928
Practice Address - Fax:845-294-7086
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059293-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical