BRIAN WOODSIDE CIP ICRC-ADC CAC NPI 1609402957

NPI Information

  • NPI: 1609402957
  • Provider Name: BRIAN WOODSIDE, CIP, ICRC-ADC, CAC,
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 915 SWEETGRASS ST
    LOXAHATCHEE, FL
    ZIP 33470
  • Phone: (561) 376-6685

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NPI Details

Brian Woodside, CIP, ICRC-ADC, CAC, is an addiction (substance use disorder) counselor in Loxahatchee, FL. Brian Woodside, CIP, ICRC-ADC, CAC, NPI is 1609402957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

915 SWEETGRASS ST
LOXAHATCHEE, FL
ZIP 33470-127
Phone: (561) 376-6685

The enumeration date for this NPI number is 3/18/2020 and was last updated on 3/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CAC100072FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)CET100015FLORIDANo
3101YA0400XCounselorAddiction (Substance Use Disorder)CRSS100026FLORIDANo
4101YA0400XCounselorAddiction (Substance Use Disorder)I0181PENNSYLVANIANo
5101YA0400XCounselorAddiction (Substance Use Disorder)806449FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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