Individual provider Active NPI

Kitty Yc Brin, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1902515554
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12171-123 Issued in WI
Practice address
2639 N Downer Ave Ste 11
Milwaukee, WI 53211-4254
Phone
(213) 300-0069
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134031-121 WI
Clinical Social Worker 1041C0700X 12171-123 WI Primary

Addresses

Primary practice location

2639 N Downer Ave Ste 11
Milwaukee, WI 53211-4254

Mailing address

2639 N Downer Ave Ste 11
Milwaukee, WI 53211-4254
Phone (213) 300-0069

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
134031-121WIMDSocial Worker
12171-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1902515554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 N DOWNER AVE STE 11",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114254",
            "telephone_number": "213-300-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 N DOWNER AVE STE 11",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114254",
            "telephone_number": "213-300-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIN",
        "first_name": "KITTY",
        "middle_name": "YC",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134031-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12171-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.