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Provider Information for 1689002149


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Ms. MELISSA BRIERLEY LCSW


Sex: Female

NPI: 1689002149
Last Updated: 2022-07-21
Certification Date:

Details

NameValue
NPI1689002149
Enumeration Date2013-10-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 122 CHESTER STREET
MOUNT VERNON, NY 10552
United States

Phone: 716-998-9166 | Fax:
 
Primary Practice Address 2300 WESTCHESTER AVE
BRONX, NY 10462-5072
United States

Phone: 718-409-8888 | Fax:
 
Secondary Practice Address(es)

8956 162ND ST
JAMAICA, NY 11432-5072
United States

Phone: 718-657-7100 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNY0842391