Provider Demographics
NPI:1851558498
Name:BRILL, SONIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:BRILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SONIA
Other - Middle Name:MARIA
Other - Last Name:BRILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:352 7TH AVE RM 1201
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5815
Mailing Address - Country:US
Mailing Address - Phone:720-971-1254
Mailing Address - Fax:
Practice Address - Street 1:352 7TH AVE RM 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5815
Practice Address - Country:US
Practice Address - Phone:720-971-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP049632-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical