Individual provider Active NPI

Bracha Halberstadt, LSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1326614405
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06660200 Issued in NJ
Practice address
27 S 5TH Ave
Highland Park, NJ 08904-2604
Phone
(844) 744-6483
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2021

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 44SL06660200 NJ Primary

Addresses

Primary practice location

27 S 5TH Ave
Highland Park, NJ 08904-2604

Mailing address

245 Chestnut St BSMT
Lakewood, NJ 08701-5808
Phone (732) 330-5330

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06660200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1326614405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHESTNUT ST BSMT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015808",
            "telephone_number": "732-330-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S 5TH AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042604",
            "telephone_number": "844-744-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTADT",
        "first_name": "BRACHA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06660200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.