Individual provider Active NPI

Sharon Breban, LMSW, LCSW

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1013144054
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083339 Issued in NY
Practice address
534 Harbor Dr
Cedarhurst, NY 11516-1014
Phone
(516) 295-7959
NPI assigned
Jun 17, 2009
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6704119 NY
Clinical Social Worker 1041C0700X 083339 NY Primary

Addresses

Primary practice location

534 Harbor Dr
Cedarhurst, NY 11516-1014

Mailing address

534 Harbor Dr
Cedarhurst, NY 11516-1014
Phone (516) 316-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6704119NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1013144054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HARBOR DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161014",
            "telephone_number": "516-316-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HARBOR DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161014",
            "telephone_number": "516-295-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREBAN",
        "first_name": "SHARON",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "6704119",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.