Deborah Brandstatter

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05840200 Issued in NJ

Practice address

241 Cedar LN
Teaneck, NJ 07666-3440

Phone

(917) 359-9162

NPI assigned

Sep 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1942679956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ADDISON RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214001",
            "telephone_number": "917-359-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663440",
            "telephone_number": "917-359-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Addison Rd",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "076214001",
            "country_code": "US",
            "telephone_number": "917-359-9162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDSTATTER",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05840200",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05316800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.