Provider Demographics
NPI:1720783764
Name:AZZARELLI, BRIANA (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:AZZARELLI
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 1:26 SARATOGA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-2113
Mailing Address - Country:US
Mailing Address - Phone:631-905-6118
Mailing Address - Fax:
Practice Address - Street 1:26 SARATOGA RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-2113
Practice Address - Country:US
Practice Address - Phone:631-905-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094010101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor