Brandon Canell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110221-01 Issued in NY

Practice address

80 S Clinton Ave Apt 9B
Bay Shore, NY 11706-8640

Phone

(631) 796-3185

NPI assigned

Sep 11, 2020

Sex

Male

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

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.

• Cartwheel Health Services PC

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
  • NPI 1912633975
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1437764834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "631-496-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S CLINTON AVE APT 9B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068640",
            "telephone_number": "631-796-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELL",
        "first_name": "BRANDON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110221-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Campbell, LMHC
• Lawrence D. Campbell, M.D.
• Ann-Marie Campo, MS, CCC-SLP
• Lizzette Canales-Rangel
• Carla Canavire Weber, DO
• Gabriella Anna Cannon
• Alexandra Capece, DO
• Michael Caponigro, M.D.
• Gabriella Grace Caporaso, LMSW
• Carl William Cappello, DOCTOR OF DIVINITY

• Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Social Worker in New York

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

Verify at the official NPI Registry.