Erin Kathleen Brazill, LCSW, ATR- BC
Individual provider Active NPI Clinical Social Worker · Pittsford, NY
NPI 1689796401 · NPPES record last updated Mar 23, 2024
Key facts
- NPI
- 1689796401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 088837 (NY)
- Practice address
- 1159 Pittsford Victor Rd Ste 210
Pittsford, NY 14534-3839 - Phone
- (585) 622-1909
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4012 | OK | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4012 | OK | |
| Clinical Social Worker | 1041C0700X | I.1100072 | OH | |
| Clinical Social Worker | 1041C0700X | 149012478 | IL | |
| Clinical Social Worker | 1041C0700X | 088837 | NY | Yes |
Addresses
Primary practice location
1159 Pittsford Victor Rd Ste 210
Pittsford, NY 14534-3839
Mailing address
1159 Pittsford Victor Rd Ste 210
Pittsford, NY 14534-3839
Phone (585) 622-1909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184775413 | Other | IL | ORGANIZATIONAL NPI |
Other names
- Ms. Erin Kathleen McGovern
Other providers in Pittsford, NY
- Sheridan Booth
- Sharon B Borrell
- Sarah Bracker
- Branch Acupuncture, PLLC
- Lisa D. Brayer
- Brenda A Bremer
- Hannah Noel Brien
- Brighton Psychological Services, PLLC
- Mark Gregory Brogan
- Brooks Spinal Care Chiropractic, PLLC
All providers in Pittsford, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.