Mary Breen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081064 Issued in NY

Practice address

46 Guion St
Pleasantville, NY 10570-2106

Phone

(646) 483-5627

NPI assigned

Sep 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• By Repose LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1912506726
  NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1437308459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GUION ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702106",
            "telephone_number": "646-483-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 GUION ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702106",
            "telephone_number": "646-483-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Boye-Doe, M.S.W
• Sharon Brady, M.S. ED M.A. CCC-SLP
• Albertus Braislford
• Mary P Bramswig, RN
• Andre Brandt
• Colleen Brennan
• Anne Bresnahan, CASAC
• Yung R Brinney II
• Ben Bristol, MD
• Josephine Broccio, PA-C

• Clinical Social Worker in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.