Provider Demographics
NPI:1578030144
Name:TISCHLER, BRIANNA LAUREN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:LAUREN
Last Name:TISCHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:LAUREN
Other - Last Name:GIANFORTUNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 FLOWERS CREST WAY
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-7088
Mailing Address - Country:US
Mailing Address - Phone:347-282-7993
Mailing Address - Fax:
Practice Address - Street 1:260 FLOWERS CREST WAY
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-7088
Practice Address - Country:US
Practice Address - Phone:347-282-7993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0167691041C0700X
NY0942831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty