Individual provider Active NPI

Vicki Braunstein, MSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1114461126
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096679-1 Issued in NY
Practice address
160 N Main Ave
Albany, NY 12206-1821
Phone
(518) 437-6618
Fax
(518) 437-6588
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 096679-1 NY Primary

Addresses

Primary practice location

160 N Main Ave
Albany, NY 12206-1821

Mailing address

160 N Main Ave
Albany, NY 12206-1821
Phone (518) 437-6618

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
I20180823000919 NY Practitioner - Clinical Social Worker 7618226739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Center for the FamilyGroup PAC ID 0143256859, 3 clinicians

Practice addresses (Care Compare)

359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone (518) 587-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096679-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family CurrentSince Apr 15, 2020 Accepting new patients

Locations

970 Route 146
Clifton Park, NY 12065
Phone (518) 881-0331

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1114461126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6618",
            "fax_number": "518-437-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6618",
            "fax_number": "518-437-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSTEIN",
        "first_name": "VICKI",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096679-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.