Brightside LCSW Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004189 Issued in NY

Legal business name

BRIGHTSIDE LCSW SERVICES

Practice address

3715 Union Rd
Sweet 122
Cheektowaga, NY 14225

Phone

(716) 783-0407

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Charmaine Fanara, LCSWNPI 1740378751

Title

Counselor

Phone

(716) 783-0407

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine Ann Fanara, LCSW

  • Clinical Social Worker
  • Depew, NY
  • NPI 1740378751
  Authorized official Same address or phone

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1063871432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-783-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 UNION RD",
            "address_2": "SWEET 122",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-783-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE LCSW SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "FANARA",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "716-783-0407",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin E. Brandel, LCSW-R
• Keith Brantley, PT
• Brittany Bratek
• Matthew John Brennan, PHARMD
• Glen William Briggs, LCSW-R
• Heather A Broadbent
• Jessica Brock, LPN
• Michael M Brogan, PA
• Michael S Brogan, PT, DPT, PHD
• Caitlin Brooks, NP

• Mental Health Counselor in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.