Patricia Brickley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R036070-1 Issued in NY

Practice address

7 Muchmore LN
#2
East Hampton, NY 11937-7401

Phone

(631) 329-1466

Fax

(631) 329-1466

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063638641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MUCHMORE LN",
            "address_2": "#2",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119377401",
            "telephone_number": "631-329-1466",
            "fax_number": "631-329-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MUCHMORE LN",
            "address_2": "#2",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119377401",
            "telephone_number": "631-329-1466",
            "fax_number": "631-329-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036070-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Baris, LMSW
• Dylan Jean Bennett
• Seth Martin Black, DDS
• Linda Sharon Blum, LCSW BCD
• Catherine Ann Bopp, CASAC 2
• Mary Bromley, LCSW
• Stacey Brosnan, NP, CNM
• Jennifer Browne, RN
• Nancy Burke
• Laura Burr, RN

• Clinical Social Worker in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.