Individual provider Active NPI

Patricia E Brust, LCSW

  • Case Manager/Care Coordinator
  • Larchmont, NY
National Provider Identifier
1871702548
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
172 Myrtle Blvd
#2C
Larchmont, NY 10538-2029
Phone
(914) 671-3454
Fax
(914) 630-7337
NPI assigned
May 21, 2007
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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 R 031440-1 NY
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

172 Myrtle Blvd
#2C
Larchmont, NY 10538-2029

Mailing address

172 Myrtle Blvd
# 2C
Larchmont, NY 10538-2029
Phone (914) 671-3454

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
I20150422000869 NY Practitioner - Clinical Social Worker 7618295700 Practice locations: Larchmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Myrtle Blvd
2C
Larchmont, NY 10538-2007
Phone (914) 671-3454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R 031440-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1871702548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MYRTLE BLVD",
            "address_2": "# 2C",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382029",
            "telephone_number": "914-671-3454",
            "fax_number": "914-630-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MYRTLE BLVD",
            "address_2": "#2C",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382029",
            "telephone_number": "914-671-3454",
            "fax_number": "914-630-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUST",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 031440-1",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.