MEDICARE: ADAM BRILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	116491	NY
2	1041C0700X	Clinical Social Worker	102110	NY

General Provider Information

NPI Number	:	1538898937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM BRILL

Provider Business Mailing Address
First Line	:	424 E 147TH ST FL 2
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4104
Country	:	US
Telephone Number	:	929-688-1026
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2054
Country	:	US
Telephone Number	:	718-245-2931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	02/22/2026

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Directions to “ ADAM BRILL ” Practice Location

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