NPIMap

Organization Active NPI

By Repose LCSW PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1912506726
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BY REPOSE LCSW PLLC
Practice address
276 5TH Ave RM 704
New York, NY 10001-4527
Phone
(212) 920-1976
NPI assigned
Oct 22, 2020
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Ms. Mary Morgan Breen, LCSWNPI 1437308459
Title
Owner/Ceo
Phone
(212) 920-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

276 5TH Ave RM 704
New York, NY 10001-4527

Mailing address

46 Guion St
Pleasantville, NY 10570-2106
Phone (646) 483-5627

Other practice location 1

46 Guion St
Pleasantville, NY 10570-2106
Phone (212) 920-1976

Other practice location 2

351 Manville Rd Ste 109
Pleasantville, NY 10570-2166
Phone (212) 920-1976

Other names 1

  • Mary Breen LCSW PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

351 Manville Rd
Ste 109
Pleasantville, NY 10570
Phone (212) 920-1976

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1912506726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GUION ST",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702106",
            "telephone_number": "646-483-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE RM 704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014527",
            "telephone_number": "212-920-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Guion St",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NY",
            "postal_code": "105702106",
            "country_code": "US",
            "telephone_number": "212-920-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Manville Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NY",
            "postal_code": "105702166",
            "country_code": "US",
            "telephone_number": "212-920-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BY REPOSE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "212-920-1976",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Breen LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.