Active NPI
Jennifer Brandt, LCSW-R
- Social Worker
- Forest Hills, NY
National Provider Identifier
1760770648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 065337
- Practice address
- 7050 Austin St Ste Ll110A
Forest Hills, NY 11375-4703 - Phone
- (410) 422-7299
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 065337 | NY | Primary |
Addresses
Primary practice location
7050 Austin St Ste Ll110A
Forest Hills, NY 11375-4703
Mailing address
70-50 Austin Street
Suite Ll110A
Forest Hills, NY 11375
Phone (410) 422-7299
Other practice location 1
104 70 Queens Boulevard
suite 200
Forest Hills, NY 11375-3694
Phone (718) 275-6010
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
| License | State | Type | Specialty |
|---|---|---|---|
| 065337 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1760770648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70-50 AUSTIN STREET",
"address_2": "SUITE LL110A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "410-422-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 AUSTIN ST STE LL110A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754703",
"telephone_number": "410-422-7299"
}
],
"practiceLocations": [
{
"address_1": "104 70 Queens Boulevard",
"address_2": "suite 200",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113753694",
"country_code": "US",
"telephone_number": "718-275-6010",
"fax_number": "718-275-6062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "JENNIFER",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "065337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.