Active NPI
Brianna Kline, LMSW
- Social Worker
- Hauppauge, NY
National Provider Identifier
1225648033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108488
- Practice address
- 200 Wireless Blvd
Hauppauge, NY 11788-3974 - Phone
- (631) 853-7373
- NPI assigned
- Aug 6, 2020
- Last updated
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108488 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
200 Wireless Blvd
Hauppauge, NY 11788-3974
Mailing address
500 Peconic St Apt 53a
Ronkonkoma, NY 11779-7115
Phone (631) 834-3365
Other practice location 1
3600 Route 112
Coram, NY 11727-4116
Phone (631) 920-8302
Other names 1
- Miss Brianna Gallina
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Brianna.kline@suffolkcountyny.gov | Direct | Suffolk County Dept of Health Services |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108488 | NY | MD | Social Worker |
Interoperability endpoints
- brianna.kline@suffolkcountyny.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1225648033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PECONIC ST APT 53A",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797115",
"telephone_number": "631-834-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WIRELESS BLVD",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883974",
"telephone_number": "631-853-7373"
}
],
"practiceLocations": [
{
"address_1": "3600 Route 112",
"address_purpose": "LOCATION",
"city": "Coram",
"state": "NY",
"postal_code": "117274116",
"country_code": "US",
"telephone_number": "631-920-8302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINE",
"first_name": "BRIANNA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108488",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Brianna.kline@suffolkcountyny.gov",
"affiliation": "Y",
"endpointDescription": "Methadone Clinic",
"affiliationName": "Suffolk County Dept of Health Services",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "200 Wireless Blvd",
"city": "Hauppauge",
"state": "NY",
"country_code": "US",
"postal_code": "117883974",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRIANNA",
"last_name": "GALLINA",
"prefix": "MISS",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.