Individual provider Active NPI

Jessica Brennan, LCSW

  • Clinical Social Worker
  • Scotia, NY
National Provider Identifier
1376843318
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073302 Issued in NY
Practice address
900 Preddice Pkwy
Scotia-Glenville CSD
Scotia, NY 12302-1048
Phone
(518) 382-1215
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
073302NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scotia-Glenville Central Schools Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073302 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

900 Preddice Pkwy
Scotia-Glenville CSD
Scotia, NY 12302-1048

Mailing address

900 Preddica Pkwy
Scotia-Glenville CSD
Scotia, NY 12302
Phone (518) 382-1215

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2010.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1376843318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PREDDICA PKWY",
            "address_2": "SCOTIA-GLENVILLE CSD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-382-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PREDDICE PKWY",
            "address_2": "SCOTIA-GLENVILLE CSD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123021048",
            "telephone_number": "518-382-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.