Individual provider Active NPI

Shyavia Brown, LMSW, CASAC-T

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1205267853
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098358 Issued in NY
Practice address
1953 University Ave
Bronx, NY 10453-4404
Phone
(718) 765-6054
Fax
(347) 706-3912
NPI assigned
Dec 9, 2013
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 098358 NY Primary

Addresses

Primary practice location

1953 University Ave
Bronx, NY 10453-4404

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

329 E 149th St
4th Floor
Bronx, NY 10451-5601
Phone (718) 769-2698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001517 NY Practitioner - Clinical Social Worker 6305374166 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Nov 7, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Nov 7, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Nov 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 7, 2024 Accepting new patients
Oak Street Health of New York Medical Group PC Clinical CurrentSince Jan 1, 2026 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 7, 2024 Accepting new patients
Resolution Counseling Services LCSW PLLC Social Worker Past Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1205267853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534404",
            "telephone_number": "718-765-6054",
            "fax_number": "347-706-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 E 149th St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515601",
            "country_code": "US",
            "telephone_number": "718-769-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHYAVIA",
        "credential": "LMSW, CASAC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.