Ms Mara J Brandon, LCSW, CASAC 2 is a
Social Worker - Clinical based in New York, New York. Ms Mara J Brandon is licensed to practice in New York (license number 085699) and her current practice location is
310 W End Ave, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(646) 632-5377.
NPI number for Ms Mara J Brandon is 1891123907 and her current mailing address is 310 W End Ave, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891123907.
Healthcare Provider's Profile
| Full Name | Ms Mara J Brandon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 310 W End Ave, New York, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891123907
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Ms Mara J Brandon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891123907 | NPI | - | NPPES |
| 00695941 | Medicaid | NY | |
| 5631735 | Other | NY | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21232 (New York) | Secondary |
| 104100000X | Social Worker | 084080 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 085699 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mara J Brandon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Mara J Brandon, LCSW, CASAC 2
310 W End Ave,
New York, NY 10023-8146
Ph: (646) 632-5377 | Ms Mara J Brandon, LCSW, CASAC 2
310 W End Ave,
New York, NY 10023-8146
Ph: (646) 632-5377 |
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