Individual provider Active NPI

Lyndsay Flint Brischoux, LCSW

  • Clinical Social Worker
  • New Windsor, NY
National Provider Identifier
1477934248
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089042 Issued in NY
Practice address
3068 Route 9W Ste 200
New Windsor, NY 12553-7663
Phone
(845) 238-6572
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 076024 NY
Clinical Social Worker 1041C0700X 089042 NY Primary

Addresses

Primary practice location

3068 Route 9W Ste 200
New Windsor, NY 12553-7663

Mailing address

27 1St St
Cornwall on Hudson, NY 12520-1303
Phone (845) 216-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218002042 NY Practitioner - Clinical Social Worker 9830583798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076024NYMDAddiction (Substance Use Disorder) Counselor
089042NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Community Services of Orange County Past Accepting new patients
Catholic Charities of Orange, Sullivan & Ulster Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1477934248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 1ST ST",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201303",
            "telephone_number": "845-216-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 ROUTE 9W STE 200",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537663",
            "telephone_number": "845-238-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCHOUX",
        "first_name": "LYNDSAY",
        "middle_name": "FLINT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "076024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.