Conetta Embodu Natasha Brantch
Social Worker, Clinical in Saint Albans, NY. Individual provider (NPI-1).
NPI number1508464900
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1508464900
- Entity type
- Individual (NPI-1)
- Name
- Conetta Embodu Natasha Brantch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2020
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
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 | 085956-1 | NY | Yes |
Practice location
18535 Jordan AveSaint Albans, NY 11412-2305
Phone 917-435-8070
Mailing address
18535 Jordan AveSaint Albans, NY 11412-2305
Phone 917-435-8070
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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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