Provider Demographics
NPI:1407745557
Name:RIVERA, AUBRIANNA SUE (MSW)
Entity type:Individual
Prefix:MRS
First Name:AUBRIANNA
Middle Name:SUE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:AUBRIANNA
Other - Middle Name:SUE
Other - Last Name:RENFREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:423 MAIN ST APT A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:NY
Mailing Address - Zip Code:13135-2355
Mailing Address - Country:US
Mailing Address - Phone:315-882-7406
Mailing Address - Fax:
Practice Address - Street 1:1045 JAMES ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2730
Practice Address - Country:US
Practice Address - Phone:315-425-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker