Provider Demographics
NPI:1700600723
Name:PIVARNIK, BRIANA
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:PIVARNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2446 WHITNEY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3233
Mailing Address - Country:US
Mailing Address - Phone:203-298-9005
Mailing Address - Fax:203-643-2253
Practice Address - Street 1:1 BRADLEY RD STE 404
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2235
Practice Address - Country:US
Practice Address - Phone:203-298-9005
Practice Address - Fax:203-298-9453
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker