Provider Demographics
NPI:1639831365
Name:FERRARO, BRIANNA (LMSW)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:FERRARO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:FERRARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BRIANNA FERRARO
Mailing Address - Street 1:506 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4706
Mailing Address - Country:US
Mailing Address - Phone:516-704-3400
Mailing Address - Fax:516-705-3418
Practice Address - Street 1:506 STEWART AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4706
Practice Address - Country:US
Practice Address - Phone:516-232-3380
Practice Address - Fax:516-705-3418
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106651104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker