Individual provider Active NPI

Vallena Brindisi

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154860609
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0992061 Issued in NY
Practice address
85 E 10TH St
Apt C
New York, NY 10003-5406
Phone
(909) 969-4669
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 0992061 NY Primary

Addresses

Primary practice location

85 E 10TH St
Apt C
New York, NY 10003-5406

Mailing address

85 E 10TH St
Apt C
New York, NY 10003-5406
Phone (909) 969-4669

Other names 1

  • Vallena Bircheff Former name

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
0992061NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1154860609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E 10TH ST",
            "address_2": "APT C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035406",
            "telephone_number": "909-969-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E 10TH ST",
            "address_2": "APT C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035406",
            "telephone_number": "909-969-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDISI",
        "first_name": "VALLENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0992061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALLENA",
            "last_name": "BIRCHEFF",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.