Active NPI
Brenda Koenig, LMSW
- Social Worker
- Monsey, NY
National Provider Identifier
1407061245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 065590-1
- Practice address
- 6 Cortland Rd
Monsey, NY 10952-1623 - Phone
- (845) 362-3322
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 065590-1 | NY | Primary |
| Case Manager/Care Coordinator | 171M00000X | 065590-1 | NY |
Addresses
Primary practice location
6 Cortland Rd
Monsey, NY 10952-1623
Mailing address
6 Cortland Rd
Monsey, NY 10952-1623
Phone (845) 494-0981
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 |
|---|---|---|---|
| 065590-1 | NY | MD | Social Worker |
| 065590 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab-Pro of Congers P.T.PLLC | Past | Accepting new patients | |
| Jewish Family Service of Rockland County, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- West Nyack, NY
- NPI 1023211208
-
- Physical Therapy Clinic/Center
- Congers, NY
- NPI 1154432920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1407061245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CORTLAND RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521623",
"telephone_number": "845-494-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CORTLAND RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521623",
"telephone_number": "845-362-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "BRENDA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "065590-1",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "065590-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.