Active NPI
Eric Gregory Braun, LMSW, CCFC
- Social Worker
- Lakewood, NY
National Provider Identifier
1457582090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067782
- Practice address
- 3 W Summit St
Lakewood, NY 14750-1151 - Phone
- (716) 640-2378
- NPI assigned
- Jul 30, 2009
- Sex
- Male
- 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 | 067782 | NY | Primary |
Addresses
Primary practice location
3 W Summit St
Lakewood, NY 14750-1151
Mailing address
PO Box 324
Lakewood, NY 14750-0324
Phone (716) 640-2378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067782 | Other | NY | UNIVERSITY OF THE STATE OF NY - OFFICE OF THE PROFESSIONS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067782 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1457582090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 324",
"city": "LAKEWOOD",
"state": "NY",
"postal_code": "147500324",
"telephone_number": "716-640-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 W SUMMIT ST",
"city": "LAKEWOOD",
"state": "NY",
"postal_code": "147501151",
"telephone_number": "716-640-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "ERIC",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "LMSW, CCFC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF THE STATE OF NY - OFFICE OF THE PROFESSIONS",
"identifier": "067782",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.