Individual provider Active NPI

Mariel Brito, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1073564837
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
72071931 Issued in NY
Practice address
40 Flatbush Avenue Ext
# 840
Brooklyn, NY 11201-1906
Phone
(718) 439-4338
Fax
(718) 493-4340
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72071931 NY Primary

Addresses

Primary practice location

40 Flatbush Avenue Ext
# 840
Brooklyn, NY 11201-1906

Mailing address

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone (718) 439-4338

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72071931NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1073564837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-439-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT",
            "address_2": "# 840",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011906",
            "telephone_number": "718-439-4338",
            "fax_number": "718-493-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO",
        "first_name": "MARIEL",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72071931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.