Individual provider Active NPI

Laura Jane Schmidt Brown, MA, LCSW, CASAC

  • Clinical Social Worker
  • Kings Park, NY
National Provider Identifier
1962790790
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087062 Issued in NY
Practice address
21 Pulaski Road Unit 242
Kings Park, NY 11754-1923
Phone
(631) 260-5151
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CASAC 24713 NY
Social Worker 104100000X LMSW 078672 NY
Clinical Social Worker 1041C0700X 087062 NY Primary

Addresses

Primary practice location

21 Pulaski Road Unit 242
Kings Park, NY 11754-1923

Mailing address

130 Totten Ave
Deer Park, NY 11729-1923
Phone (631) 586-0898

Other practice location 1

130 Totten Ave
Deer Park, NY 11729-1923
Phone (631) 586-0898

Other names 1

  • Miss Laura J Schmidt Former name

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
I20180905002230 NY Practitioner - Clinical Social Worker 8729338199 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CASAC 24713NYMDAddiction (Substance Use Disorder) Counselor
LMSW 078672NYMDSocial Worker
087062NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 1, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 1, 2021 Accepting new patients
Visiting Counselors, LCSW, PLLC Clinical PastSince Aug 9, 2018 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

90 Adams Ave
Hauppauge, NY 11788
Phone (631) 392-0081

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1962790790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOTTEN AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291923",
            "telephone_number": "631-586-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PULASKI ROAD UNIT 242",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117541923",
            "telephone_number": "631-260-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Totten Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291923",
            "country_code": "US",
            "telephone_number": "631-586-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAURA",
        "middle_name": "JANE SCHMIDT",
        "name_prefix": "Mrs.",
        "credential": "MA, LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "CASAC 24713",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "LMSW 078672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHMIDT",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kings Park, NY

Sources for this page

Verify at the official NPI Registry.