Olivia Profaci Brown

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113387 Issued in NY

Practice address

21 S Chestnut St Ste 103
New Paltz, NY 12561-1944

Phone

(845) 202-3138

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Thompson Counseling Services LCSW, PLLC

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1821703778
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1346092228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GIBBONS LN",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S CHESTNUT ST STE 103",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611944",
            "telephone_number": "845-202-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "OLIVIA",
        "middle_name": "PROFACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "3857135",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonore Briones
• Roxanne Brognano
• Mary Ellen Broughton, LCSW
• Madison S Brower
• Carolyn Brown, L.AC.
• Ellen M Brunning, MS,ED.
• Donna M Bruschi, IBCLC
• Bryan R. Kolber
• Debra K Budnik, LCSWR
• Debra E Burdick, LCSW, BCN

• Social Worker in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.