Active NPI
Hannah Rose Broyles, LMSW
- Clinical Social Worker
- Garden City, NY
National Provider Identifier
1376274381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118632-01
- Practice address
- 506 Stewart Ave
Garden City, NY 11530-4706 - Phone
- (516) 705-3400
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118632-01 | NY | Primary |
Addresses
Primary practice location
506 Stewart Ave
Garden City, NY 11530-4706
Mailing address
30 Avenue I
Farmingdale, NY 11735-1612
Phone (516) 459-3301
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 |
|---|---|---|---|
| 118632-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1376274381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 AVENUE I",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351612",
"telephone_number": "516-459-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304706",
"telephone_number": "516-705-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROYLES",
"first_name": "HANNAH",
"middle_name": "ROSE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "118632-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.