Peggy L Bright-Berhannan, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R049442 Issued in NY

Practice address

106 S Perry St
Ste 4
Watkins Glen, NY 14891-1615

Phone

(607) 535-8282

Fax

(607) 535-8284

NPI assigned

Aug 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schuyler County

  • Ambulance
  • Watkins Glen, NY
  • NPI 1205544012
  NPD (past)
• Schuyler County Mental Health

  • Clinical Social Worker
  • Watkins Glen, NY
  • NPI 1003869165
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033120449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CAYUTA AVE",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "148921511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST",
            "address_2": "STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911615",
            "telephone_number": "607-535-8282",
            "fax_number": "607-535-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT-BERHANNAN",
        "first_name": "PEGGY",
        "middle_name": "L",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300049442LI",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara L Besley, RPN
• Brian Eugene Bleiler, OD
• Tyler John Bogardus
• Rebecca Bonsignore, LMSW
• Eileen S Bontorno
• Anna Brown, LMSW
• Terin Brown, OTR/L
• Alyssa Kay Bubniak, PHARMD
• Buffalo Wheelchair, Inc.
• Trevor Carey, PHARM.D.

• Clinical Social Worker in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.