NPI 1003121443

Maria W Sutrisno, LMSW

Practitioner Social Worker Brooklyn, NY

Practice location

Address: 180 Livingston St Suite 306, Brooklyn, NY 11201-5861
Phone: (718) 625-4055
Fax: (718) 625-3931
Mailing address: 7502 Ridge Blvd APT C8, Brooklyn, NY 11209-2942

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 0814761 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1003121443
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2010
Record last updated: 10 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.