Individual provider Active NPI

Lorraine Winn Braveman, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1104931898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
040439 Issued in NY
Practice address
490 Ridge Rd E
Rochester, NY 14621-1229
Phone
(585) 922-2500
Fax
(585) 922-2664
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 040439 NY Primary

Addresses

Primary practice location

490 Ridge Rd E
Rochester, NY 14621-1229

Mailing address

PO Box 10787
Rochester, NY 14610-0787
Phone (585) 922-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104931898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10787",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146100787",
            "telephone_number": "585-922-1122",
            "fax_number": "585-922-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVEMAN",
        "first_name": "LORRAINE",
        "middle_name": "WINN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "040439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.