Provider Demographics
NPI:1649536004
Name:CRANE, BRIAN PATRICK (LCSW)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:PATRICK
Last Name:CRANE
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 1:150 COUNTRY ESTATES CIR STE 105
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4017
Mailing Address - Country:US
Mailing Address - Phone:801-462-1167
Mailing Address - Fax:
Practice Address - Street 1:150 COUNTRY ESTATES CIR STE 105
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4017
Practice Address - Country:US
Practice Address - Phone:801-462-1167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8141014-35011041C0700X
NV7543-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical