Deja La Shay Middlebrook, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

116560-01 Issued in NY

Practice address

695 Genesee St
Buffalo, NY 14211-3162

Phone

(716) 710-5151

NPI assigned

Sep 1, 2023

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1902682396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GENESEE ST # 1116",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022604",
            "telephone_number": "716-239-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142113162",
            "telephone_number": "716-710-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 Minnesota Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151013",
            "country_code": "US",
            "telephone_number": "716-495-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLEBROOK",
        "first_name": "DEJA",
        "middle_name": "LA SHAY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116560-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giseline Michel, MHC
• Joy E Michener, P.T.
• Robert Anthony Michienzi, PA
• Gregory Micoli
• Mid Erie
• Quilette Middlebrooks
• Erin B Middler, P.A.
• Sarah Miechurski
• Diane Miess
• Lauren Catherine Miga

• Social Worker in Buffalo, NY
• Providers in Buffalo, 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 May 23, 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.

Verify at the official NPI Registry.