Individual provider Active NPI

Bryony Freij, LCSW

  • Clinical Social Worker
  • East Hampton, NY
National Provider Identifier
1992163349
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083321-1 Issued in NY
Practice address
200 Pantigo PL
Suite E
East Hampton, NY 11937-5920
Phone
(631) 324-8030
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083321-1 NY Primary

Addresses

Primary practice location

200 Pantigo PL
Suite E
East Hampton, NY 11937-5920

Mailing address

200 Pantigo PL
Suite E
East Hampton, NY 11937-5920
Phone (631) 324-8030

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
083321-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1992163349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375920",
            "telephone_number": "631-324-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375920",
            "telephone_number": "631-324-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIJ",
        "first_name": "BRYONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083321-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.