Farrell Brooke Eisenberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074624 Issued in NY

Practice address

1400 Route 300
Newburgh, NY 12550-2995

Phone

(845) 926-1933

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Valley Psychological & Developmental Services, P.C.

  • Clinical Psychologist
  • New Windsor, NY
  • NPI 1528349024
  Medicare reassignment NPD
• Putnam Family and Community Services Inc

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167
  NPD (past)
• Putnam Family and Community Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093885790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BIRCHWOOD DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537404",
            "telephone_number": "845-569-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502995",
            "telephone_number": "845-926-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "FARRELL",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ebner
• Eckerd Corporation
• Jeanne Marie Eckles, LMSW
• Kenessa B Edwards, MD
• Kristen D Ehrens, LCSW, CASAC
• Sharmilla Elana
• Elant at Goshen Inc
• Elant at Goshen Inc
• Elant at Goshen, Inc.
• Elant at Newburgh, Inc.

• Clinical Social Worker in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.