Linda Brennan, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R078039 Issued in NY

Practice address

3635 Bell Blvd
Suite 203
Bayside, NY 11361-2167

Phone

(718) 830-0246

NPI assigned

Apr 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1225353121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357",
            "telephone_number": "718-830-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BELL BLVD",
            "address_2": "SUITE 203",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612167",
            "telephone_number": "718-830-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "LINDA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R078039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Brandell, R.PH.
• Karen Marie Brannan, MS. OTR/L
• Eugene Brayman, M.D.
• Melvin J. Breite, M.D.
• Jacqueline Brennan, LCSW
• Melissa Imera Brochero, BA OF PSYCHOLOGY
• Raquel Brody, MS, OTR/L
• Yvette Brooks, MS. SP. ED
• Dan Brown, DPT
• Emily Elizabeth Brown, LMSW

• Clinical Social Worker in Bayside, NY
• Providers in Bayside, 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 Oct 27, 2015; 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.