Individual provider Active NPI

Andrew Paul Brachfeld, LCSW-R

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1942814140
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R061216-1 Issued in NY
Practice address
15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953
Phone
(518) 424-9157
NPI assigned
Sep 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 R061216-1 NY Primary

Addresses

Primary practice location

15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953

Mailing address

7 Longwood Dr
Saratoga Springs, NY 12866-2831
Phone (518) 424-9157

Other identifiers 1

IdentifierTypeStateIssuer
R061216-1OtherNYLCSW-R

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
R061216-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1942814140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LONGWOOD DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662831",
            "telephone_number": "518-424-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL STE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662953",
            "telephone_number": "518-424-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHFELD",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R061216-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-R",
            "identifier": "R061216-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.