Individual provider Active NPI

Sandra Dean Elizabeth Brady-Pyne, LCSW, CASAC

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1164865440
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070156-1 Issued in NY
Practice address
3 Cottage PL
New Rochelle, NY 10801-4201
Phone
(914) 235-6633
Fax
(914) 633-3319
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NY
Clinical Social Worker 1041C0700X 070156-1 NY Primary

Addresses

Primary practice location

3 Cottage PL
New Rochelle, NY 10801-4201

Mailing address

3 Cottage PL
New Rochelle, NY 10801-4201
Phone (914) 235-6633

Other names 1

  • Sandra Brady-Pyne Other name

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
I20240627000079 NY Order and Referring Only - Clinical Social Worker 7214471663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070156-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1164865440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COTTAGE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014201",
            "telephone_number": "914-235-6633",
            "fax_number": "914-633-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COTTAGE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014201",
            "telephone_number": "914-235-6633",
            "fax_number": "914-633-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY-PYNE",
        "first_name": "SANDRA DEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070156-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BRADY-PYNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.