Elizabeth Laura Brach, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105001 Issued in MA

Practice address

10 Plymouth Rd
Lexington, MA 02421-5811

Phone

(781) 863-8165

NPI assigned

Jan 5, 2019

Last updated

Jan 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brach Evaluation and Consulting, LLC

  • Community/Behavioral Health Agency
  • Brookline, MA
  • NPI 1528842861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1710450481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLYMOUTH RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215811",
            "telephone_number": "781-863-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLYMOUTH RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215811",
            "telephone_number": "781-863-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACH",
        "first_name": "ELIZABETH",
        "middle_name": "LAURA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Independence Bowie, LICSW
• Bowlight Partners LLC (Banyan Health)
• Christine Pavlakis Bowling, MSW, LICSW
• James Bowman
• Amy L Bozek, M.S., CCC-SLP
• Kendall Brady
• Karen Beth Braga, N.D.
• Shaunna Braid
• Anthony D Bram, PHD
• Linda Helmig Bram, PHD

• Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.