Active NPI
Jessica Brennan, LCSW
- Clinical Social Worker
- Scotia, NY
National Provider Identifier
1376843318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073302
- 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.
-
- Local Education Agency (LEA)
- Scotia, NY
- NPI 1225182439
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073302 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotia-Glenville Central Schools | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073302 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.