Active NPI
Mary Ann Catherine Deibel-Braun, LCSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1366539009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 071763-1
- Practice address
- 951 Niagara St
Lower West Side
Buffalo, NY 14213-2116 - Phone
- (716) 884-0700
- Fax
- (716) 884-0631
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071763-1 | NY | Primary |
Addresses
Primary practice location
951 Niagara St
Lower West Side
Buffalo, NY 14213-2116
Mailing address
951 Niagara St
Lower West Side
Buffalo, NY 14213-2116
Phone (716) 884-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017792-1 | Other | NY | LCSW |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071763-1 | NY | MD | Social Worker |
| 071763 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestself Behavioral Health, Inc. | Social Worker | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buffalo, NY
- NPI 1023230695
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366539009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 NIAGARA ST",
"address_2": "LOWER WEST SIDE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132116",
"telephone_number": "716-884-0700",
"fax_number": "716-884-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NIAGARA ST",
"address_2": "LOWER WEST SIDE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132116",
"telephone_number": "716-884-0700",
"fax_number": "716-884-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIBEL-BRAUN",
"first_name": "MARY ANN",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071763-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "017792-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.