Active NPI
Gillian O Shea Brown, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1467806943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21643
- Practice address
- 928 Broadway Ste 400
New York, NY 10010-8149 - Phone
- (410) 343-7590
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21643 | MD | Primary |
Addresses
Primary practice location
928 Broadway Ste 400
New York, NY 10010-8149
Mailing address
928 Broadway Ste 400
New York, NY 10010-8149
Phone (410) 343-7590
Other practice location 1
103 E Wells St
Apt 103
Baltimore, MD 21230-4869
Phone (240) 382-0992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21643 | Other | MD | BOARD OF EXAMINERS FOR SOCIAL WORK |
| 087644 | Other | NY | NEW YORK LICENSE |
Other names 1
- Mrs. Gillian O Shea
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21643 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545696000000",
"number": "1467806943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108149",
"telephone_number": "410-343-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108149",
"telephone_number": "410-343-7590"
}
],
"practiceLocations": [
{
"address_1": "103 E Wells St",
"address_2": "Apt 103",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212304869",
"country_code": "US",
"telephone_number": "240-382-0992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O SHEA BROWN",
"first_name": "GILLIAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2018-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF EXAMINERS FOR SOCIAL WORK",
"identifier": "21643",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "087644",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GILLIAN",
"last_name": "O SHEA",
"prefix": "MRS.",
"credential": "LCSW-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.