Individual provider Active NPI

Susan Joy Brown-Mandel, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1588007322
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R050199-1 Issued in NY
Practice address
545 West 236TH Street
Suite C
Bronx, NY 10463
Phone
(646) 322-9086
NPI assigned
Apr 11, 2013
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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 R050199-1 NY Primary

Addresses

Primary practice location

545 West 236TH Street
Suite C
Bronx, NY 10463

Mailing address

3656 Johnson Avenue Suite 1F
Bronx, NY 10463
Phone (646) 322-9086

Other names 1

  • Ms. Susan Joy Brown Former name

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
I20130531000016 NY Practitioner - Clinical Social Worker 2365680436 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

545 W 236 St
1C Co Judith Kahn
Bronx, NY 10463-1610
Phone (646) 322-9086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050199-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1588007322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 JOHNSON AVENUE SUITE 1F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "646-322-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WEST 236TH STREET",
            "address_2": "SUITE C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "646-322-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-MANDEL",
        "first_name": "SUSAN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050199-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BROWN",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.