Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYANT ODELL MASSENBURG, LCSW
Active Sole ProprietorMR. BRYANT ODELL MASSENBURG, LCSW is a Social Worker healthcare provider located in FT RILEY, Kansas. NPI 1194938571 is currently active in the NPPES registry. Verify at CMS.
Social Worker · FT RILEY, KS
Registration Details
- NPI Number
- 1194938571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.223763502013 yrs)
- Last Updated
- Sep 29, 2023
- Licenses
-
0904006561 (VA)0904006561 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 HUEBNER RDFT RILEY, KS, 664424030Browse KS providers · Browse ZIP 66442
- Phone
- 7575356301
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.