Beverly Brandman, LCSW
Individual provider Active NPI Clinical Social Worker · Roslyn, NY
NPI 1992858724 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992858724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R032770 (NY)
- Practice address
- 1025 Northern Blvd
Suite 301
Roslyn, NY 11576 - Phone
- (516) 869-8327
- Fax
- (631) 499-5909
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R032770 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R032770 | NY | Yes |
Addresses
Primary practice location
1025 Northern Blvd
Suite 301
Roslyn, NY 11576
Mailing address
6 Selma Court
East Northport, NY 11731
Phone (516) 869-8327
Other providers in Roslyn, NY
- Akram Boutros
- Kaupin J Brahmbhatt
- Justin Bral
- Michelle Bral
- Lenore J Brancato
- Meaghan Brennan
- Patrick Brennan
- Alexandra Broccolo
- Olivia D Brown
- Stuart Brown
All providers in Roslyn, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.