Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Michelle Brisco, LCSW

Individual provider Clinical Social Worker · NPI 1306483946

Tara Michelle Brisco, LCSW is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1906 N Beverly Glen Blvd
Los Angeles, CA 90077-2714
Phone: (310) 383-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 77232 (CA)

Record details

NPI number1306483946
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 2, 2019

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