BREANNA FRED (NPI# 1154862662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154862662 |
| Entity Type | Individual |
| Full Name | BREANNA FRED |
| Credential | LMSW |
| Practice Address |
4271 Hempstead Tpke Bethpage NY 11714-5708 |
| Practice Telephone | 5165206600 |
| Mailing Telephone | 5165206600 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 098181 | NY | Behavioral Health & Social Service Providers |
| Street Address |
4271 HEMPSTEAD TPKE |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659316826 | Irina V Shpak | Internal Medicine | 4271 Hempstead Tpke, Suite 1, Bethpage, NY 11714 | 2006-06-19 |
| 1912531526 | Brian Alvarez | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2020-02-24 |
| 1033628797 | Shari Ashkin | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2017-09-26 |
| 1316456056 | Brent Russell | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2017-09-26 |
| 1316497043 | Michael Walters | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2016-10-05 |
| 1932560273 | Jason Moston | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2016-03-15 |
| 1538526843 | Winthrop Community Medical Affiliates PC | Internal Medicine | 4271 Hempstead Tpke, Suite 1, Bethpage, NY 11714-5708 | 2016-01-19 |
| 1548633001 | Jaclyn C Cornell | Physician Assistant | 4271 Hempstead Tpke, Suite 1, Bethpage, NY 11714-5708 | 2015-11-05 |
| 1871979989 | Claudia Hutchinson-stewart | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2015-07-31 |
| 1043699358 | Megan Marrero | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2015-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476728 | Marlena Jamie Seminario | Social Worker | 24 Ellen St, Bethpage, NY 11714-2910 | 2020-01-13 |
| 1841611704 | Constantina Alexander Manetta | Social Worker | 20 N Nassau St, Bethpage, NY 11714-3516 | 2013-12-19 |
| 1194070888 | Counseling for Wellness, Inc . | Social Worker | 75 Thomas Ave, Bethpage, NY 11714-1912 | 2012-07-18 |
| 1023211943 | Bryant Louis Kaplan | Social Worker | 936 Stewart Ave, Bethpage, NY 11714 | 2007-06-07 |
| 1316456056 | Brent Russell | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2017-09-26 |
| 1699177493 | Candice Robinson | Social Worker | 936 Stewart Ave, Bethpage, NY 11714-3532 | 2014-09-23 |
| 1679827257 | Jessica A. Cabeza | Social Worker | 75 Thomas Ave, Bethpage, NY 11714-1912 | 2012-11-03 |
| 1316143951 | Bethpage Adolescent Development Association Inc | Social Worker | 936 Stewart Ave, Bethpage, NY 11714 | 2007-06-21 |
| 1427138601 | Karen Black | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1699376673 | Kevin James Kleinknecht | Social Worker | 4332 47th St Apt B34, Sunnyside, NY 11104-1755 | 2020-11-05 |
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1992306252 | Joseph Catalano | Social Worker | 57 Oneida Ave, South Setauket, NY 11720-1130 | 2020-11-03 |
| 1982205282 | Stephanie Lopez | Social Worker | 85 Vista Ter S, Mahopac, NY 10541-3154 | 2020-11-03 |
| 1194326611 | Rebecca Leigh Eckerson | Social Worker | 4 Woodlake Dr, Saratoga Springs, NY 12866-8844 | 2020-11-02 |
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1306447966 | Juliana Pepaj | Social Worker | 13835 Elder Ave Apt 5g, Flushing, NY 11355-4068 | 2020-11-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.