Healthcare Provider Details

I. General information

NPI: 1407788946
Provider Name (Legal Business Name): ADRIANNA BENJAMIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADRIANNA AMBRISTER LMSW

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 E 89TH ST
BROOKLYN NY
11236-3910
US

IV. Provider business mailing address

913 E 89TH ST
BROOKLYN NY
11236-3910
US

V. Phone/Fax

Practice location:
  • Phone: 917-848-1927
  • Fax:
Mailing address:
  • Phone: 917-848-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number128901-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: