Active NPI
Shenita Brown
- Social Worker
- Buffalo, NY
National Provider Identifier
1437551330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092206
- Practice address
- 430 Niagara St
Buffalo, NY 14201-1886 - Phone
- (716) 856-2587
- Fax
- (716) 856-2608
- NPI assigned
- Sep 23, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 092206 | NY | Primary |
Addresses
Primary practice location
430 Niagara St
Buffalo, NY 14201-1886
Mailing address
85 E Depew Ave
Buffalo, NY 14214-1815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 092206 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1437551330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 E DEPEW AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011886",
"telephone_number": "716-856-2587",
"fax_number": "716-856-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.