Joan Brandenburg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029415-1 Issued in NY

Practice address

137 Broadway
Suite D2
Amityville, NY 11701-2742

Phone

(631) 598-3652

Fax

(631) 598-3652

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1366459042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE D2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "631-598-3652",
            "fax_number": "631-598-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE D2",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "631-598-3652",
            "fax_number": "631-598-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029415-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE GHI",
            "identifier": "7401088",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS",
            "identifier": "P2744059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Bonica, MHC-LP
• Tanisha Akyra Bowen
• Kathy Sheron Brady, L.P.N.
• Pamela Braglia, NP
• Bimalkumar P Brahmbhatt, M.D.
• Harsimran Brar, M.D
• Dawn Marie Brennan Tesoro, LMSW
• Broadway Chiropractic Diagnostic and Rehabilitation P.C.
• Broadway Chiropractic Health Management
• Kelly Brock

• Clinical Social Worker in Amityville, NY
• Providers in Amityville, 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 Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.