Healthcare Provider Details

I. General information

NPI: 1518877018
Provider Name (Legal Business Name): BREANNA NAPPI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 43RD ST
CENTEREACH NY
11720-2325
US

IV. Provider business mailing address

6 MALVERN LN
STONY BROOK NY
11790-2816
US

V. Phone/Fax

Practice location:
  • Phone: 631-285-8000
  • Fax:
Mailing address:
  • Phone: 516-949-6989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102639-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: