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BREANNA MAREE WILBURN LICAW
NPI 1457010191
Social Worker - Clinical in Washington, DC

Active since December 09, 2021
60 IRVING ST NW, WASHINGTON, DC 20422(202) 745-8000 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Maree Wilburn Licaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA MAREE WILBURN LICAW (NPI 1457010191) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50082227) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1457010191
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA MAREE WILBURNCredential: LICAW
Location Address60 IRVING ST NWWashington, DC 20422-0001
Mailing Address18912 Impulse LnGaithersburg, MD 20879-1794 · (408) 390-3887
Phone(202) 745-8000
Sole ProprietorYes
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1457010191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DC · LC50082227
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
60 IRVING ST NW, Washington, DC 20422
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Wilburn's NPI number?

The NPI number for Breanna Wilburn is 1457010191. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Breanna Wilburn located?

Breanna Wilburn practices at 60 Irving St NW, Washington, DC 20422. The listed phone number is (202) 745-8000.

What is Breanna Wilburn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Breanna Wilburn was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.