Antoinette Nadine Mims-Brown

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R081665 Issued in NY

Practice address

157 E 86TH St
New York, NY 10028-2175

Phone

(646) 371-4142

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 15, 2024 through Nov 15, 2026

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.

• Antoinette Mims Psychological Services

  • Clinical Social Worker
  • New York, NY
  • NPI 1639990591
  NPD Authorized official

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1154793966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "646-371-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282175",
            "telephone_number": "646-371-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS-BROWN",
        "first_name": "ANTOINETTE",
        "middle_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R081665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mimken, MD
• Scott Callan Mimnaugh, MA
• Kathryn Barrett Mimno, MD
• Janine L. Mimran Reimen, LCSW
• Masha Clara Mimran, PHD, LP
• Belinda Suzanne Mims, RPH
• Brittney Mims, DPT
• Heather Mims, DPT
• Virginia E Mims, MS, LAC
• Yoshihiro Mimura, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.