Individual provider Active NPI

Antonia Depalma-Brandt, LCSW

  • Clinical Social Worker
  • Rye Brook, NY
National Provider Identifier
1003013905
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073105 Issued in NY
Practice address
17 Brookridge CT
Rye Brook, NY 10573-3439
Phone
(718) 570-3777
NPI assigned
Jul 3, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 073105 NY Primary

Addresses

Primary practice location

17 Brookridge CT
Rye Brook, NY 10573-3439

Mailing address

17 Brookridge CT
Rye Brook, NY 10573-3439
Phone (718) 570-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000406 NY Practitioner - Clinical Social Worker 4789122359 Practice locations: Rye Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rye Brook, NY 10573
Phone (718) 570-3777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073105NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1003013905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BROOKRIDGE CT",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733439",
            "telephone_number": "718-570-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BROOKRIDGE CT",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733439",
            "telephone_number": "718-570-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA-BRANDT",
        "first_name": "ANTONIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.