Jean Brandt, LCSW-R

Primary specialty

CounselorTaxonomy code 101Y00000X

License

063615 Issued in NY

Practice address

70 Barker St
Buffalo, NY 14209-2013

Phone

(716) 883-1914

Fax

(716) 883-7637

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jean Ciaravino Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD (past)
• Jewish Family Services of Western New York

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1932139300
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1962419275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BARKER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092013",
            "telephone_number": "716-883-1914",
            "fax_number": "176-883-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BARKER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092013",
            "telephone_number": "716-883-1914",
            "fax_number": "716-883-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "063615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "000511966001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "CIARAVINO",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry Brak, DO
• Jennifer Branch
• Sarah Lynn Brand
• Rayisa Brandl
• Robert John Brandon Jr.
• Kathryn Brandt
• Adriana Brandy
• Lisa Brandys
• Nathan Brant, DPT
• Amanpreet Brar

• Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.