Healthcare Provider Details

I. General information

NPI: 1194644674
Provider Name (Legal Business Name): ALDEN ENGELBRECHT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 LIVINGSTON ST FL 17
BROOKLYN NY
11201-5134
US

IV. Provider business mailing address

111 LIVINGSTON ST FL 17
BROOKLYN NY
11201-5134
US

V. Phone/Fax

Practice location:
  • Phone: 917-790-3170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132305
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: