Provider Demographics
NPI:1639983174
Name:MUESES, BREANNA MARIE (LICSW)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:MARIE
Last Name:MUESES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HERITAGE LN APT A4
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1618
Mailing Address - Country:US
Mailing Address - Phone:978-320-0433
Mailing Address - Fax:
Practice Address - Street 1:5 PAUL X TIVNAN DR
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-2126
Practice Address - Country:US
Practice Address - Phone:508-854-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical