Individual provider Active NPI

Matthew Braman, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1861833857
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086388 Issued in NY
Practice address
10 Halletts PT Apt 1201
Astoria, NY 11102-4689
Phone
(734) 732-2677
NPI assigned
Jul 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 CSW006817 GA
Clinical Social Worker 1041C0700X 086388 NY Primary

Addresses

Primary practice location

10 Halletts PT Apt 1201
Astoria, NY 11102-4689

Mailing address

10 Halletts PT Apt 1201
Astoria, NY 11102-4689
Phone (734) 732-2677

Other practice location 1

102 Pilling St
Brooklyn, NY 11207-1610
Phone (718) 602-1000

Other practice location 2

209B Swanton Way Ste 204
Decatur, GA 30030-3271
Phone (404) 354-4026 ext. 8

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
CSW006817GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Verve Psychotherapy LCSW, PLLC Clinical CurrentSince Jul 17, 2021 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Dec 8, 2017 Accepting new patients

Organizations & group practices 2

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1861833857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HALLETTS PT APT 1201",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024689",
            "telephone_number": "734-732-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HALLETTS PT APT 1201",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024689",
            "telephone_number": "734-732-2677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Pilling St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112071610",
            "country_code": "US",
            "telephone_number": "718-602-1000",
            "fax_number": "718-602-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209B Swanton Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303271",
            "country_code": "US",
            "telephone_number": "404-354-4026 x8",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMAN",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.