Individual provider Active NPI

Gail D Brodt, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1366465155
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027683-1 Issued in NY
Practice address
26 Court St Room 2011
Brooklyn, NY 11242-1120
Phone
(917) 923-7865
Fax
(212) 587-7881
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 R027683-1 NY Primary

Addresses

Primary practice location

26 Court St Room 2011
Brooklyn, NY 11242-1120

Mailing address

26 Court St #2011
Brooklyn, NY 11242-1120
Phone (917) 923-7865

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
I20201207001633 NY Practitioner - Clinical Social Worker 9133531643 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 Court St
Suite 2011
Brooklyn, NY 11242-1120
Phone (917) 923-7865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027683-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Provider Network Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1366465155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST #2011",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421120",
            "telephone_number": "917-923-7865",
            "fax_number": "212-587-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST ROOM 2011",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421120",
            "telephone_number": "917-923-7865",
            "fax_number": "212-587-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODT",
        "first_name": "GAIL",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027683-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.