Individual provider Active NPI

Breanna Winkel

  • Clinical Social Worker
  • Evans Mills, NY
National Provider Identifier
1073474094
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
26908 Independence Way Ste 101
Evans Mills, NY 13637-3301
Phone
(315) 629-4525
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NY Primary

Addresses

Primary practice location

26908 Independence Way Ste 101
Evans Mills, NY 13637-3301

Mailing address

1575 Washington St
Watertown, NY 13601-9371

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260209000439 NY Practitioner - Clinical Social Worker 9335628593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Griffith Peak Dr
Suite 2
Las Vegas, NV 89135-1555

36221 Amend Rd
La Fargeville, NY 13656-3247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center CurrentSince Dec 20, 2025 Accepting new patients
Samaritan Medical Center PastSince Nov 24, 2025 Accepting new patients

Locations

10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400

26908 Independence Way
Ste 101
Evans Mills, NY 13637
Phone (315) 629-4525

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

1575 Washington St
Watertown, NY 13601
Phone (315) 779-5060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1073474094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY STE 101",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373301",
            "telephone_number": "315-629-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKEL",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans Mills, NY

Sources for this page

Verify at the official NPI Registry.