Provider Demographics
NPI:1134307093
Name:PIPER, BRANNAN MARY (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRANNAN
Middle Name:MARY
Last Name:PIPER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 5TH AVE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4306
Mailing Address - Country:US
Mailing Address - Phone:212-675-8497
Mailing Address - Fax:
Practice Address - Street 1:130 5TH AVE
Practice Address - Street 2:SUITE 900
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4306
Practice Address - Country:US
Practice Address - Phone:212-675-8497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071486-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical