Jennifer Brent LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER BRENT LCSW PC

Practice address

1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555

Phone

(631) 559-9626

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Brent, LCSWNPI 1235763715

Title

Owner

Phone

(631) 559-9626

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer MW Brent, LMSW

  • Clinical Social Worker
  • Islandia, NY
  • NPI 1235763715
  NPD Authorized official
• Michele Lynn Gennaro, LCSW

  • Social Worker
  • West Islip, NY
  • NPI 1932678729
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1447910344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 VETERANS MEMORIAL HWY STE 14",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491555",
            "telephone_number": "631-559-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 VETERANS MEMORIAL HWY STE 14",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491555",
            "telephone_number": "631-559-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BRENT LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-559-9626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Islandia Medical PLLC
• Islandia MRI Associates PC
• J.T.E. Enterprises Inc
• Karen Paula Jawed, RN
• Margareth Jean-Fils, PTA
• Jigna Desai Jhaveri, M.D.
• Muneeb Mohammad Jilani, PHARM.D.
• Melissa Jockers
• Jordan Sudberg MD P.C.
• Jte Enterprises, Inc.

• Clinical Social Worker in Islandia, NY
• Providers in Islandia, 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 Jun 12, 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.