Briana Sullivan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095173 Issued in NY

Practice address

475 E Main St
Suite 100
East Patchogue, NY 11772-3121

Phone

(516) 754-1155

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1326496373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 VAN BUREN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102119",
            "telephone_number": "516-754-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "516-754-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIANA",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie A Suarez, RN
• Suffolk Cardiac Care PLLC
• Suffolk Chest Physicians, LLP
• Suffolk Surgical Group, PC
• Suffolk Surgical Group, PC
• Marie Guerline Sully
• Sultana RX Corp. (Lighthouse Pharmacy)
• Sultana RX Corp.
• Sunrise RX LLC (Sunrise Pharmacy)
• Eileen Suydam Oster, OT/L

• Social Worker in East Patchogue, NY
• Providers in East Patchogue, 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 Jun 1, 2016; 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.