Provider Demographics
NPI:1942814140
Name:BRACHFELD, ANDREW PAUL (LCSW-R)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAUL
Last Name:BRACHFELD
Suffix:
Gender:M
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 1:7 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2831
Mailing Address - Country:US
Mailing Address - Phone:518-424-9157
Mailing Address - Fax:
Practice Address - Street 1:15 MAPLE DELL STE 3
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2953
Practice Address - Country:US
Practice Address - Phone:518-424-9157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR061216-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR061216-1OtherLCSW-R