Individual provider Active NPI

Brooke Nicole Generett, L.C.S.W.

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1184890998
Registry record updated Mar 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017069 Issued in PA
Practice address
5655 Bryant St
The Nuin Center
Pittsburgh, PA 15206-1511
Phone
(412) 805-5273
NPI assigned
May 1, 2008
Last updated
Mar 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125755 PA
Clinical Social Worker 1041C0700X CW017069 PA Primary

Addresses

Primary practice location

5655 Bryant St
The Nuin Center
Pittsburgh, PA 15206-1511

Mailing address

5655 Bryant St
The Nuin Center
Pittsburgh, PA 15206-1511
Phone (412) 805-5273

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
SW125755PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363478400000",
    "number": "1184890998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 BRYANT ST",
            "address_2": "THE NUIN CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061511",
            "telephone_number": "412-805-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 BRYANT ST",
            "address_2": "THE NUIN CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061511",
            "telephone_number": "412-805-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERETT",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; 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.