Provider Demographics
NPI:1629864905
Name:ABBOTT, BRIAUNA (MSW)
Entity type:Individual
Prefix:
First Name:BRIAUNA
Middle Name:
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2556 HIGHGATE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-9625
Mailing Address - Country:US
Mailing Address - Phone:802-624-0304
Mailing Address - Fax:
Practice Address - Street 1:2556 HIGHGATE RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-9625
Practice Address - Country:US
Practice Address - Phone:802-624-0304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0136051104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker