Provider Demographics
NPI:1548153422
Name:IVERSON, BRIEN (LMSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:BRIEN
Middle Name:
Last Name:IVERSON
Suffix:
Gender:F
Credentials:LMSW, MSW
Other - Prefix:MRS
Other - First Name:BRI
Other - Middle Name:
Other - Last Name:IVERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, MSW
Mailing Address - Street 1:2418 ELBA DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3055 STILLHOUSE LAKE RD STE 206
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8861
Practice Address - Country:US
Practice Address - Phone:254-813-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical