Provider Demographics
NPI:1902947823
Name:SAARELA, BRETT ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:ANNE
Last Name:SAARELA
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 1:65 WASHINGTON ST
Mailing Address - Street 2:#8E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1470
Mailing Address - Country:US
Mailing Address - Phone:917-627-7326
Mailing Address - Fax:
Practice Address - Street 1:65 WASHINGTON ST
Practice Address - Street 2:#8E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1470
Practice Address - Country:US
Practice Address - Phone:917-627-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0715231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00071523Medicaid
NYA300062660Medicare PIN