Provider Demographics
NPI:1609226356
Name:SCOTT, BRIANA ANNIKA (MSW)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:ANNIKA
Last Name:SCOTT
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 1:1124 TINTON AVE
Mailing Address - Street 2:APT. 3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-5569
Mailing Address - Country:US
Mailing Address - Phone:646-302-9489
Mailing Address - Fax:
Practice Address - Street 1:1124 TINTON AVE
Practice Address - Street 2:APT. 3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5569
Practice Address - Country:US
Practice Address - Phone:646-302-9489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health