MR. KEITH MICHAEL BRACKETT (NPI# 1275683732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275683732 |
Entity Type | Individual |
Full Name | MR. KEITH MICHAEL BRACKETT |
Credential | LCSW |
Practice Address |
1727 Amsterdam Ave New York NY 10031-4611 |
Mailing Address |
3067 33rd St Apt 2a Astoria NY 11102-1437 |
Practice Telephone | 2126949200 |
Practice Fax Number | 2123685608 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
0752351 | NY | Behavioral Health & Social Service Providers |
Street Address |
1727 AMSTERDAM AVE |
City | NEW YORK |
State | NY |
Zip Code | 10031-4611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558312637 | Ralph K. Jackson | Ophthalmology | 1727 Amsterdam Ave, 3rd Floor, New York, NY 10031-4611 | 2006-05-13 |
1801408372 | Kristin Morris | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-08-17 |
1295344877 | Paige Marley Zeitz | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-07-29 |
1790303691 | Melissa Croy | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-07-08 |
1346879780 | Elizabeth Wilson | Music Therapist | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-04-07 |
1265065023 | Pedro Roman | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2020-02-19 |
1235777319 | Karina Esther Cornelio | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-12-19 |
1336785484 | Lorwilb Liriano | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-11-25 |
1932744430 | Dana Ashli Gale Lyttle | Social Worker | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-11-08 |
1881237386 | Desiree Rodriguez | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2019-10-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346883675 | Lisa Tian Chen | Physician Assistant | 160 Convent Ave., Harris Hall #15, New York, NY 10031 | 2019-10-18 |
1699329144 | Dianna Rosario | Registered Nurse | 640 Riverside Drive, New York, NY 10031 | 2019-08-01 |
1447767058 | Sophie Jetta Miller | Social Worker | 507 West 140th Street, #43, New York, NY 10031 | 2018-01-04 |
1376074005 | Broadway Rx Enterprises Inc | Pharmacy | 3489 Broadway, New York, NY 10031 | 2017-03-24 |
1174061469 | Mbene Diop | In Home Supportive Care | 505 West 148 St Apt 4a, New York, NY 10031 | 2017-02-07 |
1447702691 | Sylvan Roger Maginley Jr. | General Practice | 302 Convent Avenue 6, New York, NY 10031 | 2016-11-03 |
1477009124 | Anthony Mcfadden | Counselor | 625 West 140th Street, Manhattan, NY 10031 | 2016-08-31 |
1942754601 | E-green Pharmacy Inc | Pharmacy | 3500 Broadway, New York, NY 10031 | 2016-08-11 |
1356712657 | Sandra Bulos | Internal Medicine | 3410-18 Broadway 2nd Fl, New York, NY 10031 | 2015-10-13 |
1033591375 | Phillip Carron | Family Medicine | 3556 Broadway, New York, NY 10031 | 2015-06-23 |
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Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.