Individual provider Active NPI

Karleen Brookshire

  • School Social Worker
  • Albany, NY
National Provider Identifier
1356878193
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
096731-1 Issued in NY
Practice address
60 Academy Rd
Albany, NY 12208-3103
Phone
(518) 426-2600
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
School Social Worker 1041S0200X 096731-1 NY Primary

Addresses

Primary practice location

60 Academy Rd
Albany, NY 12208-3103

Mailing address

57 Dana Ave Apt 1
Albany, NY 12208-3507

Other practice location 1

57 Dana Ave Apt 1
Albany, NY 12208-3507
Phone (518) 253-7479

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Karleen.brookshire@nrfs.org

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
096731-1NYMDSchool Social Worker

Interoperability endpoints

  • Direct secure messaging: karleen.brookshire@nrfs.org

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1356878193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DANA AVE APT 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-426-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Dana Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083507",
            "country_code": "US",
            "telephone_number": "518-253-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKSHIRE",
        "first_name": "KARLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "096731-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karleen.brookshire@nrfs.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "60 Academy Rd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.