Individual provider Active NPI

Cassandra Lee Bransford, PHD, LCSW

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1770612160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
036307-R Issued in NY
Practice address
84 Main St
Binghamton, NY 13905-2811
Phone
(707) 772-8579
NPI assigned
Mar 3, 2007
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
Clinical Social Worker 1041C0700X 036307-R NY Primary

Addresses

Primary practice location

84 Main St
Binghamton, NY 13905-2811

Mailing address

487 Ridge Rd
Vestal, NY 13850-5632
Phone (607) 748-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20171106000414 NY Practitioner - Clinical Social Worker 6800152067 Practice locations: Binghamton, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

46 Riverside Dr
Binghamton, NY 13905-4511
Phone (607) 772-8579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
036307-RNYMDClinical Social Worker
036307NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770612160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 RIDGE RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138505632",
            "telephone_number": "607-748-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052811",
            "telephone_number": "707-772-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSFORD",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "036307-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.