Brenda B. Bryant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC6545 Issued in ME

Practice address

1066 Kenduskeag Ave
Bangor, ME 04401-2914

Phone

(207) 941-2855

Fax

(207) 941-2835

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1003936378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 KENDUSKEAG AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012914",
            "telephone_number": "207-299-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 KENDUSKEAG AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012914",
            "telephone_number": "207-941-2855",
            "fax_number": "207-941-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BRENDA",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC6545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Jay Bruno, D.P.M.
• Bruns Inc.
• Deeette C Bruns, MT
• Richard M. Bruns, D.C.
• Autumn A Bruschi, RPH
• Emily Lou Bryant, DO
• Kara Bryant, LMSW-CC
• Leslie Ray Bryant III, M.D.
• Britney Bubar, DPT
• Darci R Bubar, FNP

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.