Individual provider Active NPI

Brian D Gilroy, LCSW, LMFT, LCADC

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1073788246
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00753400 Issued in NJ
Practice address
68 Maple Ave
Red Bank, NJ 07701-1618
Phone
(908) 233-4290
NPI assigned
Apr 28, 2008
Last updated
Sep 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00027100 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 4161 NY
Clinical Social Worker 1041C0700X 44SC00753400 NJ Primary
Clinical Social Worker 1041C0700X R 039990-1 NY
Marriage & Family Therapist 106H00000X 37FI00130900 NJ

Addresses

Primary practice location

68 Maple Ave
Red Bank, NJ 07701-1618

Mailing address

16 1St St
Keyport, NJ 07735-1586
Phone (908) 233-4290

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00027100NJMDAddiction (Substance Use Disorder) Counselor
4161NYMDAddiction (Substance Use Disorder) Counselor
R 039990-1NYMDClinical Social Worker
37FI00130900NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1073788246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 1ST ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351586",
            "telephone_number": "908-233-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011618",
            "telephone_number": "908-233-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILROY",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW, LMFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00027100",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "4161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00753400",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 039990-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00130900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; 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.