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General NPI Number Information
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NPI Number | 1780597062
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Entity Type | Organization
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Legal Business Name | LAURA BROWN-RIVERA, LCSW, P.C.
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 32 GRANT AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-1008
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Country | US
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Telephone | 646-856-9454
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE R
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 646-856-9454
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAURA BROWN-RIVERA
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Credential | LCSW
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Telephone | 646-856-9454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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