Sheila Breck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L047163 Issued in NY

Practice address

100 N Country Rd
East Setauket, NY 11733

Phone

(631) 751-2113

Fax

(631) 444-0084

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sheila Hallen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205847258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-2113",
            "fax_number": "631-444-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-2113",
            "fax_number": "631-444-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECK",
        "first_name": "SHEILA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "L047163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "HALLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pilar Souviron Bracero
• Douglas L Brand, M.D.
• Lauren Brand, R.D.
• Shawn Brase
• Jennifer Lynn Braun, PT
• John J Brennan, MD
• Paul D Brodsky, O.D.
• Richard Bronson, M.D.
• Valerie Brunetti, D.P.M.
• Peter F Bruno Jr., MD

• Clinical Social Worker in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.