NPIMap

Organization Active NPI

Nicole Brill LCSW-R

  • Clinical Social Worker
  • Port Washington, NY
National Provider Identifier
1609241702
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
034481 Issued in NY
Legal business name
NICOLE BRILL LCSW-R
Practice address
47 Essex CT
Port Washington, NY 11050-4222
Phone
(516) 382-3003
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Ms. Nicole Edith Brill, LCSW-R
Title
Psychotherapist
Phone
(516) 382-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 034481 NY Primary

Addresses

Primary practice location

47 Essex CT
Port Washington, NY 11050-4222

Mailing address

47 Essex CT
Port Washington, NY 11050-4222
Phone (516) 382-3003

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1609241702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ESSEX CT",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504222",
            "telephone_number": "516-382-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ESSEX CT",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504222",
            "telephone_number": "516-382-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BRILL LCSW-R",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "516-382-3003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.