Individual provider Active NPI

Joanna Marie Brezee, LMSW

  • Social Worker
  • Herkimer, NY
National Provider Identifier
1861019002
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109425 Issued in NY
Practice address
417 E German St
Herkimer, NY 13350-1028
Phone
(315) 868-1000
Fax
(315) 866-3174
NPI assigned
Jul 4, 2020
Last updated
Jul 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109425 NY Primary

Addresses

Primary practice location

417 E German St
Herkimer, NY 13350-1028

Mailing address

4399 Whedon Rd
Camillus, NY 13031-9751
Phone (315) 383-6486

Other identifiers 1

IdentifierTypeStateIssuer
81-4349735OtherNYCORNERSTONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cornerstonemobilecounseling.com/ Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
109425NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Herkimer PastSince Jul 12, 2020 Accepting new patients
Herkimer Cornerstone, LLC PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1861019002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 WHEDON RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130319751",
            "telephone_number": "315-383-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028",
            "telephone_number": "315-868-1000",
            "fax_number": "315-866-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZEE",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORNERSTONE",
            "identifier": "81-4349735",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cornerstonemobilecounseling.com/",
            "affiliation": "N",
            "endpointDescription": "Cornerstone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 E German St",
            "city": "Herkimer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "133501028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; 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.