Active NPI
Tetiana Talya Brea, LMSW
- Social Worker
- Rochester, NY
National Provider Identifier
1366670374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 070108-1
- Practice address
- 441 East Ave
Rochester, NY 14607-1932 - Phone
- (585) 288-3442
- Fax
- (585) 288-3442
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 070108-1 | NY | Primary |
Addresses
Primary practice location
441 East Ave
Rochester, NY 14607-1932
Mailing address
441 East Ave
Rochester, NY 14607-1932
Phone (585) 288-3442
Other names 1
- Talya Brea
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070108-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1366670374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071932",
"telephone_number": "585-288-3442",
"fax_number": "585-288-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071932",
"telephone_number": "585-288-3442",
"fax_number": "585-288-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREA",
"first_name": "TETIANA",
"middle_name": "TALYA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "070108-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TALYA",
"last_name": "BREA",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rochester, NY
- Shanika Sashana Bray, LPN
- Anne Brayer, M.D.
- Hayden Brayer
- Judy Brazell, CASAC
- Kevin Paul Brazill, D.O.
- Breaking Boundaries Occupational Therapy Services, PLLC
- Breast Cancer Surgery of the University of Rochester
- Ryan Paul Brecker, M.D.
- Diane Elizabeth Bredes-Nies, SPEECH LANGUAGE PATH
- Danielle Breed, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.