Individual provider Active NPI

Robin Brady Mead, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1386615847
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055961 Issued in NY
Practice address
270 Lafayette St
Suite 804
New York, NY 10012-2347
Phone
(917) 817-8021
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R055961-2 NY
Clinical Social Worker 1041C0700X R055961 NY Primary

Addresses

Primary practice location

270 Lafayette St
Suite 804
New York, NY 10012-2347

Mailing address

3 Washington SQ VLG
Apt 11M
New York, NY 10012-1806
Phone (917) 817-8021

Other names 1

  • Robin Elizabeth Brady Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2021 through Jun 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055961NYMDClinical Social Worker
R055961-2NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1386615847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON SQ VLG",
            "address_2": "APT 11M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121806",
            "telephone_number": "917-817-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LAFAYETTE ST",
            "address_2": "SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122347",
            "telephone_number": "917-817-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ROBIN",
        "middle_name": "BRADY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055961-2",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "BRADY",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.