Provider Demographics
NPI:1144353558
Name:BRIAND, ANNETTE ESTELLE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:ESTELLE
Last Name:BRIAND
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 OLD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02838-1244
Mailing Address - Country:US
Mailing Address - Phone:401-419-3588
Mailing Address - Fax:
Practice Address - Street 1:747 PONTIAC AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-5825
Practice Address - Country:US
Practice Address - Phone:401-467-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW008481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical