Active NPI
Brittany Gautreau, LCSW
- Clinical Social Worker
- Long Island City, NY
National Provider Identifier
1609354562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093741
- Practice address
- 4142 24TH St Apt 1316
Long Island City, NY 11101-4025 - Phone
- (516) 606-0370
- NPI assigned
- Aug 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093741 | NY | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
4142 24TH St Apt 1316
Long Island City, NY 11101-4025
Mailing address
4142 24TH St Apt 1316
Long Island City, NY 11101-4025
Phone (516) 606-0370
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 |
|---|---|---|---|
| 093741 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1609354562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 24TH ST APT 1316",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014025",
"telephone_number": "516-606-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 24TH ST APT 1316",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014025",
"telephone_number": "516-606-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTREAU",
"first_name": "BRITTANY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093741",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.