Provider Demographics
NPI:1225356843
Name:PIERQUET, BRIENNE (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIENNE
Middle Name:
Last Name:PIERQUET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRIENNE
Other - Middle Name:
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:870 MARKET ST STE 1046
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2928
Mailing Address - Country:US
Mailing Address - Phone:415-534-9249
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 1046
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2928
Practice Address - Country:US
Practice Address - Phone:415-534-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1187641041C0700X
CA750711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical