Provider Demographics
NPI:1225395338
Name:SARRANTONIO, BRIANA NICOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:NICOLE
Last Name:SARRANTONIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 BRANCHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-1413
Mailing Address - Country:US
Mailing Address - Phone:646-483-6981
Mailing Address - Fax:
Practice Address - Street 1:48 BURD ST STE 109
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3225
Practice Address - Country:US
Practice Address - Phone:845-202-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084256-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical