Ilene a. Brickley, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ILENE A. BRICKLEY, PLLC

Practice address

565 Route 25a Ste LR5
Miller Place, NY 11764-2666

Phone

(631) 786-1565

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Ilene A. Brickley, LCSWNPI 1023255866

Title

Owner

Phone

(631) 821-0206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilene A Brickley, LMSW

  • Social Worker
  • Smithtown, NY
  • NPI 1023255866
  Medicare reassignment NPD Authorized official
• Elizabeth Anne Pace, LMSW

  • Clinical Social Worker
  • Port Jefferson Station, NY
  • NPI 1972996163
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1902444060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117860333",
            "telephone_number": "631-786-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE LR5",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642666",
            "telephone_number": "631-786-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILENE A. BRICKLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BRICKLEY",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-821-0206",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane Hayward, P.T.
• Sandra Ellen Hess-Xavier, BCBA
• Regina Hopkins, RN
• Patricia Mary Hovagim, RN
• Thomas J Ianniello, D.C.
• Interbeing Wellness LCSW PLLC
• Lissette Anne Ippolito, LPN
• Nusrat Jahan, OD
• James R Jordan Ms, NCC, Licensed Mental Health Counselor, PLLC
• Elzbieta Jaromin

• Social Worker in Miller Place, NY
• Providers in Miller Place, 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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.