Individual provider Active NPI

Nicole Brown

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1396221081
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092694 Issued in NY
Practice address
465 Park PL Apt 2R
Brooklyn, NY 11238-4663
Phone
(860) 543-5166
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 092694 NY Primary

Addresses

Primary practice location

465 Park PL Apt 2R
Brooklyn, NY 11238-4663

Mailing address

465 Park PL Apt 2R
Brooklyn, NY 11238-4663
Phone (860) 543-5166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbrown@bcsnygroup.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
092694NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Health Services III, Inc. Past Accepting new patients
Bailey House Inc PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1396221081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PARK PL APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384663",
            "telephone_number": "860-543-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PARK PL APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384663",
            "telephone_number": "860-543-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrown@bcsnygroup.com",
            "affiliation": "N",
            "address_1": "465 Park Pl Apt 2R",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112384663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.