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Deja La Shay Middlebrook , LMSW

Social Worker β€’ Buffalo, NY

Active NPI 1902682396 Individual Practitioner Female Practitioner
Practice location in NPPES

695 Genesee St
Buffalo, NY 142113162

Call 7167105151 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

695 Genesee St

Buffalo, NY 142113162

Telephone 7167105151
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Buffalo, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Buffalo and New York

551 active clinicians are listed under Social Worker with a practice address in Buffalo, NY (24,072 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Buffalo

1.1% of these 551 clinicians have the CMS telehealth indicator.

2.4% of these 551 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-23
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES NY 116560-01

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

279 Minnesota Ave

Buffalo, NY 142151013

Phone: 7164953695

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Pamela Santiago , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891971347

Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 23, 2024

Registered at 695 GENESEE ST, BUFFALO, NY 142113162 (Tel: 7167105151)

🏒
Secondary Practice Location Registered May 23, 2024

Additional practice office at 279 Minnesota Ave, Buffalo, NY 142151013

βœ…
NPI Profile Active September 01, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2023

Registered at 279 MINNESOTA AVE, BUFFALO, NY 142151013 (Tel: 7164953695)

πŸ“
Business Mailing Address (Initial Record) September 01, 2023

Registered at 229 W GENESEE ST # 1116, BUFFALO, NY 142022604 (Tel: 7162394746)

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2023

Recorded as DEJA MIDDLEBROOK, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2023

Social Worker (license number reported to NPPES: NY 116560-01)

🟒
Initial NPI Registration & Enumeration September 01, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902682396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2023
Last Update: May 23, 2024
Sole Proprietor: No

Other Social Workers in Buffalo

All Social Workers in Buffalo

Mailing Address

229 W Genesee St # 1116

Buffalo, NY 142022604

Phone: 7162394746

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.