Edward William Brogan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086442-1 Issued in NY

Practice address

93 Main St Ste 1J
West Sayville, NY 11796-1832

Phone

(631) 627-1727

NPI assigned

Feb 28, 2014

Sex

Male

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• New Horizon Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Ozone Park, NY
  • NPI 1366430563
  Medicare reassignment NPD
• Innovations Counseling, LCSW PLLC

  • Clinical Social Worker
  • West Sayville, NY
  • NPI 1568902062
  NPD (past)
• Sardonyx Wellness LCSW PLLC

  • Clinical Social Worker
  • West Sayville, NY
  • NPI 1477210698
  NPD (past)

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1114342011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117820822",
            "telephone_number": "631-627-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST STE 1J",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961832",
            "telephone_number": "631-627-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "EDWARD",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Arias, PA
• Salvatore Bellafiore, ED.D, MS, BS
• Shannon Bree Bellittieri
• Annmarie Beta
• Jacqueline Bill
• Jennifer Erin Bross
• Stephen M Burke, M.D.
• Shannon Cameron
• CHS Physician Partners, P.C
• Jessica Connolly

• Clinical Social Worker in West Sayville, NY
• Providers in West Sayville, 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 Feb 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.