Kemylee Silagan Brisport, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114487 Issued in NY

Practice address

710 Main St
Port Jefferson, NY 11777-2278

Phone

(646) 820-4612

NPI assigned

Sep 11, 2012

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1720338411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 ELY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692636",
            "telephone_number": "646-820-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772278",
            "telephone_number": "646-820-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISPORT",
        "first_name": "KEMYLEE",
        "middle_name": "SILAGAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114487",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta D Brady, OTR L
• Karina Braslavskaya
• Robert Brenner, PHARMACIST
• Brian Mayrsohn MD PLLC
• Patricia E Brill, NP
• Lauren Brown
• Gwen M Bruszewski, R.D.
• Maureen J Buchanan, M.S. IN EDUCATION -
• Amy Lynne Buckley, LCSW
• Sharon Buda, PTA

• Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.