Individual provider Active NPI

Darcy Lauren Brandt, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1851944227
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000122389 Issued in MA
Practice address
1170 Beacon St
Brookline, MA 02446-3963
Phone
(203) 581-4585
Fax
(203) 581-4585
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 223027 MA
Clinical Social Worker 1041C0700X 000122389 MA Primary

Addresses

Primary practice location

1170 Beacon St
Brookline, MA 02446-3963

Mailing address

1170 Beacon St Ste 604
Brookline, MA 02446-3963
Phone (203) 581-4585

Other practice location 1

1170 Beacon St Ste 604
Brookline, MA 02446-3963
Phone (203) 581-4585

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

LicenseStateTypeSpecialty
000122389MAMDClinical Social Worker
223027MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1851944227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BEACON ST STE 604",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463963",
            "telephone_number": "203-581-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463963",
            "telephone_number": "203-581-4585",
            "fax_number": "203-581-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Beacon St Ste 604",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024463963",
            "country_code": "US",
            "telephone_number": "203-581-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "DARCY",
        "middle_name": "LAUREN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223027",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000122389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.