Individual provider Active NPI

Brian A Murray, LCSW

  • Clinical Social Worker
  • Goshen, NY
National Provider Identifier
1538228382
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R059293-1 Issued in NY
Practice address
1997 Route 17M
Goshen, NY 10924-5229
Phone
(845) 551-2928
Fax
(845) 294-7086
NPI assigned
Dec 7, 2006
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R059293-1 NY Primary

Addresses

Primary practice location

1997 Route 17M
Goshen, NY 10924-5229

Mailing address

21 Hoover Dr
Middletown, NY 10940-4651
Phone (845) 344-1358

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
I20040608000419 NY Practitioner - Clinical Social Worker 3274516745 Reassigns benefits to 1 organization
Practice locations: Goshen, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Family HealthcareGroup PAC ID 4880610393, 67 clinicians

Practice addresses (Care Compare)

100 Broadway
Newburgh, NY 12550-5514
Phone (845) 569-8412

147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R059293-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Healthcare CurrentSince Mar 24, 2018 Accepting new patients
Cornerstone Family Healthcare CurrentSince Mar 24, 2018 Accepting new patients
Access: Supports for Living Inc Past Accepting new patients
Access: Supports for Living Inc. Past Accepting new patients

Locations

10 Benton Ave
Middletown, NY 10940
Phone (845) 343-0881

14 Grove St
Middletown, NY 10940
Phone (845) 342-6601

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

147 Lake St
Newburgh, NY 12550

99 Cameron St
Pine Bush, NY 12566
Phone (845) 744-2067

140 Hammond St
Port Jervis, NY 12771
Phone (845) 858-2854

24 Old Fire House Rd
Wallkill, NY 12589
Phone (845) 393-6015

Interoperability endpoints

  • Direct secure messaging: brian.murray@csfh.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1538228382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOOVER DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404651",
            "telephone_number": "845-344-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 ROUTE 17M",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245229",
            "telephone_number": "845-551-2928",
            "fax_number": "845-294-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.