Active NPI
Chelsea Brito
- Social Worker
- Queens Village, NY
National Provider Identifier
1861132045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115333
- Practice address
- 22014 109TH Ave
Queens Village, NY 11429-2515 - Phone
- (516) 469-1320
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 115333 | NY | Primary |
Addresses
Primary practice location
22014 109TH Ave
Queens Village, NY 11429-2515
Mailing address
22014 109TH Ave
Queens Village, NY 11429-2515
Phone (516) 469-1320
Other practice location 1
61 S Munn Ave Apt 207
East Orange, NJ 07018-3667
Phone (516) 469-1320
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 |
|---|---|---|---|
| 115333 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1861132045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22014 109TH AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292515",
"telephone_number": "516-469-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22014 109TH AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292515",
"telephone_number": "516-469-1320"
}
],
"practiceLocations": [
{
"address_1": "61 S Munn Ave Apt 207",
"address_purpose": "LOCATION",
"city": "East Orange",
"state": "NJ",
"postal_code": "070183667",
"country_code": "US",
"telephone_number": "516-469-1320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRITO",
"first_name": "CHELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "115333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.