Breanna Nicole Rios, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124590 Issued in NY

Practice address

400 W Main St Ste 111
Babylon, NY 11702-3009

Phone

(631) 805-5668

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1063246007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JOHNSON CT",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022409",
            "telephone_number": "917-652-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 111",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-805-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Johnson Ct",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117022409",
            "country_code": "US",
            "telephone_number": "516-366-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "BREANNA",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07144500",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Beck DMD PC
• Richard Valinotti M.D.P.C.
• Dorene Riggio-Tonn, M.SSLP
• Margaret M Riley, PNP, FNP, MSN
• Christina Daniele Riolo
• Brian Rivera, LMT
• Robert Caiati MD PLLC
• Robert J. Gottlieb, DPM, PC
• Peter James Rocca, LPN
• Veronica Rocco, ANP-C

• Social Worker in Babylon, NY
• Providers in Babylon, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.