Active NPI
Richard J Brondsky, LCSWR
- Clinical Social Worker
- Middletown, NY
National Provider Identifier
1720305790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R024124-1
- Practice address
- 57 Dorothea Dix Dr
Middletown, NY 10940-1904 - Phone
- (845) 326-8031
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R024124-1 | NY | Primary |
Addresses
Primary practice location
57 Dorothea Dix Dr
Middletown, NY 10940-1904
Mailing address
57 Dorothea Dix Dr.
Middletown, NY 10940
Phone (845) 326-8031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024124-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1720305790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 DOROTHEA DIX DR.",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-326-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 DOROTHEA DIX DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109401904",
"telephone_number": "845-326-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONDSKY",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R024124-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.