Individual provider Active NPI

Brittany Shea Bourbia, LCSW

  • Clinical Social Worker
  • Glen Oaks, NY
National Provider Identifier
1336518224
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088544 Issued in NY
Practice address
8114 257TH St
Glen Oaks, NY 11004-1440
Phone
(718) 831-4000
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097866 NY
Clinical Social Worker 1041C0700X 088544 NY Primary

Addresses

Primary practice location

8114 257TH St
Glen Oaks, NY 11004-1440

Mailing address

138 Main St # 1040
East Rockaway, NY 11518-1702
Phone (914) 715-1177

Other practice location 1

138 Main St # 1040
East Rockaway, NY 11518-1702
Phone (516) 584-3188

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

LicenseStateTypeSpecialty
088544NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1336518224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MAIN ST # 1040",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181702",
            "telephone_number": "914-715-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 257TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041440",
            "telephone_number": "718-831-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Main St # 1040",
            "address_purpose": "LOCATION",
            "city": "East Rockaway",
            "state": "NY",
            "postal_code": "115181702",
            "country_code": "US",
            "telephone_number": "516-584-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURBIA",
        "first_name": "BRITTANY",
        "middle_name": "SHEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.