Brooke Katherine Baldelli, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P130348 Issued in NY

Practice address

29 Woodridge LN
New Fairfield, CT 06812-5033

Phone

(203) 917-1139

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1649009796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WOODRIDGE LN",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125033",
            "telephone_number": "203-917-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WOODRIDGE LN",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125033",
            "telephone_number": "203-917-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Doansburg Rd",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "105095902",
            "country_code": "US",
            "telephone_number": "845-279-2995 x1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDELLI",
        "first_name": "BROOKE",
        "middle_name": "KATHERINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "7617",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P130348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy E Akam, LMT
• Anne Allison
• Carrie L Amos
• Arnon Ben-Yoseph
• Kelsey Tucker Arshad, DNP
• Denes Victor Bartha, L.O., A.B.O.C., N.C.
• Melissa Carrie Benedetto, APRN
• Anna Daria Berardo, MA, CCC-SLP
• Justina S Bernstein
• William Biles, M.D.

• All providers in New Fairfield, CT
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.