Bracha Daum, LCSW
Social Worker, Clinical in Lakewood, NJ. Individual provider (NPI-1).
NPI number1295039014
StatusActive
Last updated in NPPESJan 9, 2011
Details
- NPI
- 1295039014
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bracha Daum
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2011
- Last updated
- Jan 9, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05348000 | NJ | Yes |
Practice location
304 Twin Oaks DrLakewood, NJ 08701-7155
Phone 732-626-0484 · Fax 732-886-0825
Mailing address
304 Twin Oaks DrLakewood, NJ 08701-7155
Phone 732-626-0484 · Fax 732-886-0825
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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