Active NPI
Brittany Nicole Holland, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1255033171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109676
- Practice address
- 1309 Fulton Ave
2ND Floor, Room 27
Bronx, NY 10456-2412 - Phone
- (646) 887-4273
- Fax
- (718) 664-2030
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 109676 | NY | Primary |
Addresses
Primary practice location
1309 Fulton Ave
2ND Floor, Room 27
Bronx, NY 10456-2412
Mailing address
42-09 28TH Street
WS 20-47
Long Island City, NY 11101
Phone (646) 887-4273
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109676 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1255033171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42-09 28TH STREET",
"address_2": "WS 20-47",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "646-887-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 FULTON AVE",
"address_2": "2ND FLOOR, ROOM 27",
"city": "BRONX",
"state": "NY",
"postal_code": "104562412",
"telephone_number": "646-887-4273",
"fax_number": "718-664-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.