Active NPI
Hanna Brinnier Perrault
- Clinical Social Worker
- Nyack, NY
National Provider Identifier
1811533169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114403
- Practice address
- 76 Burd St
Nyack, NY 10960-3102 - Phone
- (845) 323-0576
- NPI assigned
- Nov 21, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 114403 | NY | Primary |
Addresses
Primary practice location
76 Burd St
Nyack, NY 10960-3102
Mailing address
445 Freetown Hwy
Modena, NY 12548-5303
Phone (845) 554-2310
Other practice location 1
230 North Rd
Poughkeepsie, NY 12601-1328
Phone (845) 486-2703
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 |
|---|---|---|---|
| 114403 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Kind to Your Mind LCSW, PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Paltz, NY
- NPI 1013849397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1811533169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 FREETOWN HWY",
"city": "MODENA",
"state": "NY",
"postal_code": "125485303",
"telephone_number": "845-554-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BURD ST",
"city": "NYACK",
"state": "NY",
"postal_code": "109603102",
"telephone_number": "845-323-0576"
}
],
"practiceLocations": [
{
"address_1": "230 North Rd",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126011328",
"country_code": "US",
"telephone_number": "845-486-2703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRAULT",
"first_name": "HANNA",
"middle_name": "BRINNIER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "114403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.