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NPI Code Detail

MEDICARE: MS. JOAN ROBBINS BRADY LCSW

MEDICARE: MS. JOAN ROBBINS BRADY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPR011838-1NY

General Provider Information

NPI Number : 1336361229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOAN ROBBINS BRADY LCSW
Provider Business Mailing Address
First Line : 430 CLINTON ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-3579
Country : US
Telephone Number : 917-576-5750
Fax Number :
Provider Business Practice Location Address
First Line : 430 CLINTON ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-3579
Country : US
Telephone Number : 917-576-5750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 05/20/2026

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