Provider Demographics
NPI:1780286526
Name:D'ACCURZIO, BRIANA (LICSW)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:D'ACCURZIO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LGSW
Mailing Address - Street 1:2333 ONTARIO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2627
Mailing Address - Country:US
Mailing Address - Phone:315-534-4018
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN DR NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2822
Practice Address - Country:US
Practice Address - Phone:202-569-7445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50083839104100000X
NY111009104100000X
DCLC2000024431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker