Marilyn Yvette Breeden, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

097150 Issued in NY

Practice address

721 Madison Ave
Albany, NY 12208-3301

Phone

(518) 729-2126

NPI assigned

Dec 4, 2024

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)

Not enrolled

State licenses

Practice roles

Locations

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

• Albany Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1609538214
  NPD

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1265248462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6653",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122060653",
            "telephone_number": "518-210-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083301",
            "telephone_number": "518-729-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "MARILYN",
        "middle_name": "YVETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Carol Brazis, M.D.
• Breakthrough Psychology PLLC
• Sara Anne Breault, PA-C
• Jessica Elizabeth Breda, OT
• Zachary C Breed, MD
• Andrea Breen, N.P.
• Katlyn Elizabeth Breen, PA
• Lila E Brenenstuhl
• Ashleigh Marisa Brennan
• Catherine Brennan, AAS

• Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.