MR. BRIAN KENNETH MCCORMACK (NPI# 1699138578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699138578 |
| Entity Type | Individual |
| Full Name | MR. BRIAN KENNETH MCCORMACK |
| Credential | LCSW |
| Practice Address |
1133 Broadway Suite 540 New York NY 10010 |
| Mailing Address |
248 Bard Avenue #2 Staten Island NY 10310-1660 |
| Practice Telephone | 2125607103 |
| Mailing Telephone | 2125607103 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
058633 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107471 | Brian J Mccormack | Family Medicine | 21 Locust St, Reno, NV 89502-1316 | 2005-07-08 |
| 1619110996 | Brian Mccormack | Dentist | 2500 Nesconset Hwy Bldg 18a, Stony Brook, NY 11790-2563 | 2009-04-15 |
| Street Address |
1133 BROADWAY SUITE 540 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083684096 | Anthony Gaudioso | Counselor | 1133 Broadway, Suite 1508, New York, NY 10010-7903 | 2006-01-23 |
| 1164036307 | Mary R Rom | Counselor | 1133 Broadway, New York, NY 10010-7903 | 2020-09-04 |
| 1740752161 | Knowledge Health Medical Services PC | Clinic/Center | 1133 Broadway, New York, NY 10010-7903 | 2018-12-24 |
| 1326589516 | Brent Piper | Counselor | 1133 Broadway, Suite 608, New York, NY 10010-7903 | 2017-03-20 |
| 1336591312 | Shimon R Bellis | Social Worker | 1133 Broadway, Suite 1028, New York, NY 10010-7903 | 2016-07-01 |
| 1437515780 | Volker Schuetz | Psychologist | 1133 Broadway, Suite 913, New York, NY 10010-7903 | 2016-01-01 |
| 1558757682 | Jessica Brewer Nutrition | Dietitian, Registered | 1133 Broadway, Suite 1023, New York, NY 10010-7903 | 2015-04-15 |
| 1205223336 | Jessica Brewer | Dietitian, Registered | 1133 Broadway, Suite 1023, New York, NY 10010-7903 | 2015-04-15 |
| 1952793549 | Jean May Shum | Acupuncturist | 1133 Broadway, Suite 703, New York, NY 10010-9998 | 2015-02-19 |
| 1518356518 | Hara Wellness Integrated Acupuncture PC | Acupuncturist | 1133 Broadway, Suite 1503, New York, NY 10010-7903 | 2015-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
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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] |
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|---|---|---|---|---|
| 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.