Individual provider Active NPI

Mariet J Hamrah, LCSW

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1629114988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PR046745-1 Issued in NY
Practice address
2452 Stuart St
Brooklyn, NY 11229-5816
Phone
(718) 934-2313
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PR046745-1 NY Primary

Addresses

Primary practice location

2452 Stuart St
Brooklyn, NY 11229-5816

Mailing address

2452 Stuart St
Brooklyn, NY 11229-5816
Phone (718) 934-2313

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
I20040603001011 NY Practitioner - Clinical Social Worker 5496737330 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2452 Stuart St
Brooklyn, NY 11229-5816
Phone (718) 934-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR046745-1NYMDMental Health Counselor
046745NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629114988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 STUART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295816",
            "telephone_number": "718-934-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 STUART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295816",
            "telephone_number": "718-934-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRAH",
        "first_name": "MARIET",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PR046745-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.