Individual provider Active NPI

Anthony Brown

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1780131136
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076185-1 Issued in NY
Practice address
108 Mariners Walk
Milford, CT 06460-6372
Phone
(347) 255-9631
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 076185-1 NY Primary

Addresses

Primary practice location

108 Mariners Walk
Milford, CT 06460-6372

Mailing address

108 Mariners Walk
Milford, CT 06460-6372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180810000477 NY Practitioner - Clinical Social Worker 1951659721 Reassigns benefits to 3 organizations
I20240628000818 CT Practitioner - Clinical Social Worker 1951659721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Practice addresses (Care Compare)

46 Francesca LN
Staten Island, NY 10303-2101
Phone (718) 494-2858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076185-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Betances Health Center CurrentSince Dec 16, 2024 Accepting new patients
Step Up Care PC LLC CurrentSince Jul 1, 2024 Accepting new patients
Betances Health Center CurrentSince Dec 16, 2024 Accepting new patients
Integrity Psychological Services, PLLC CurrentSince Dec 14, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

280 Henry St
New York, NY 10002
Phone (212) 227-8401

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIFAA
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1780131136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MARINERS WALK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARINERS WALK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606372",
            "telephone_number": "347-255-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.