MEDICARE: GISELLE BIRKETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	100129	NY

General Provider Information

NPI Number	:	1053263806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISELLE BIRKETT

Provider Business Mailing Address
First Line	:	1200 E 51ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-1623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 E 51ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-1623
Country	:	US
Telephone Number	:	646-875-0159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ GISELLE BIRKETT ” Practice Location

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