Provider Demographics
NPI:1225654239
Name:BELL, BRANDI MERRYL (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:MERRYL
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 TIFFANY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3913
Mailing Address - Country:US
Mailing Address - Phone:516-365-4623
Mailing Address - Fax:
Practice Address - Street 1:34 TIFFANY CIR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3913
Practice Address - Country:US
Practice Address - Phone:516-996-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02168-11041C0700X
NYR072168-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical