Organization Active NPI

Rosen, Brandt-Douglas, LCSW,PLLC

  • Clinical Social Worker
  • Lockport, NY
National Provider Identifier
1366707143
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSEN, BRANDT-DOUGLAS, LCSW,PLLC
Practice address
20 Market St
Suite 508 - the Bewley Building
Lockport, NY 14094-2914
Phone
(716) 434-7430
Fax
(716) 434-2300
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mrs. Sarah Douglas, LCSW
Title
Partner
Phone
(716) 434-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

20 Market St
Suite 508 - the Bewley Building
Lockport, NY 14094-2914

Mailing address

20 Market St
Suite 508 - the Bewley Building
Lockport, NY 14094-2914
Phone (716) 434-7430

National Provider Directory

National Provider Directory

Locations

20 Market St
Ste 508
Lockport, NY 14094
Phone (716) 434-7430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1366707143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARKET ST",
            "address_2": "SUITE 508 - THE BEWLEY BUILDING",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140942914",
            "telephone_number": "716-434-7430",
            "fax_number": "716-434-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARKET ST",
            "address_2": "SUITE 508 - THE BEWLEY BUILDING",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140942914",
            "telephone_number": "716-434-7430",
            "fax_number": "716-434-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEN, BRANDT-DOUGLAS, LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-434-7430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.