Individual provider Active NPI

Rosa Maria Bramble Weed, LCSW

  • Social Worker
  • Woodside, NY
National Provider Identifier
1740343748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
046491 Issued in NY
Practice address
4322 50TH St Ste 2C
Woodside, NY 11377-4442
Phone
(718) 518-2894
Fax
(718) 458-4481
NPI assigned
Dec 19, 2006
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
Social Worker 104100000X 046491 NY Primary

Addresses

Primary practice location

4322 50TH St Ste 2C
Woodside, NY 11377-4442

Mailing address

4322 50TH St Ste 2C
Woodside, NY 11377-4442
Phone (718) 518-2894

Other identifiers 1

IdentifierTypeStateIssuer
273369OtherNYMHN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
046491NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740343748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 50TH ST STE 2C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774442",
            "telephone_number": "718-518-2894",
            "fax_number": "718-458-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 50TH ST STE 2C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774442",
            "telephone_number": "718-518-2894",
            "fax_number": "718-458-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLE WEED",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "046491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "273369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.