Eliezer David Brand, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.105189 Issued in IL

Practice address

6600 N Lincoln Ave Ste 230
Lincolnwood, IL 60712-3635

Phone

(347) 524-2007

NPI assigned

Jun 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 27, 2023 through Dec 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• One Step Clinical Services Inc

  • Adult Mental Health Clinic/Center
  • Lincolnwood, IL
  • NPI 1063273068
  NPD Authorized official
• Eb Wellness LLC

  • Social Worker
  • Lincolnwood, IL
  • NPI 1235975921
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1447826177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 W TOUHY AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 230",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123635",
            "telephone_number": "347-524-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "ELIEZER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Bourdage, DC
• Bradely S Ross, DPM PC
• Braden Partners LP
• Bradley S. Ross, D.P.M., P.C.
• Dhara Brahmbhatt
• Brave Beginning Psychotherapy
• Tracy Callahan Breitenstein, OTR
• Leah Brennan, LMFT, CADC
• Breslercounseling LLC
• Bridge to Health

• Social Worker in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.