Active NPI
Phylis T. Brancaleoni, L.M.S.W., C.A.S.A.C.
- Social Worker
- Blauvelt, NY
National Provider Identifier
1073747366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 045961-1
- Practice address
- 620 Route 303
Blauvelt, NY 10913-1170 - Phone
- (914) 949-6640
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 045961-1 | NY | Primary |
Addresses
Primary practice location
620 Route 303
Blauvelt, NY 10913-1170
Mailing address
98 Dehaven Dr
3F
Yonkers, NY 10703-1347
Phone (914) 751-1875
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045961-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1073747366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 DEHAVEN DR",
"address_2": "3F",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031347",
"telephone_number": "914-751-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 ROUTE 303",
"city": "BLAUVELT",
"state": "NY",
"postal_code": "109131170",
"telephone_number": "914-949-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCALEONI",
"first_name": "PHYLIS",
"middle_name": "T.",
"name_prefix": "Ms.",
"credential": "L.M.S.W., C.A.S.A.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "045961-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blauvelt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.