Active NPI
Benedict Enol Pierce, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1104024124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070606
- Practice address
- 22 Chapel St
Brooklyn, NY 11201-1903 - Phone
- (718) 495-1801
- Fax
- (718) 566-8563
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 070606 | NY | Primary |
Addresses
Primary practice location
22 Chapel St
Brooklyn, NY 11201-1903
Mailing address
740 E 182ND St
PH
Bronx, NY 10457-1846
Phone (718) 495-1801
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 |
|---|---|---|---|
| 070606 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1104024124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 E 182ND ST",
"address_2": "PH",
"city": "BRONX",
"state": "NY",
"postal_code": "104571846",
"telephone_number": "718-495-1801",
"fax_number": "718-346-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CHAPEL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011903",
"telephone_number": "718-495-1801",
"fax_number": "718-566-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "BENEDICT",
"middle_name": "ENOL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070606",
"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 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.