Active NPI
Kempton Brisport, MSW
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1144725656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 30 Buxton Farm Rd
Stamford, CT 06905-1224 - Phone
- (203) 212-4191
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 821 | CT | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
30 Buxton Farm Rd
Stamford, CT 06905-1224
Mailing address
30 Buxton Farm Rd
Stamford, CT 06905-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 821 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1144725656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051224",
"telephone_number": "203-212-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISPORT",
"first_name": "KEMPTON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "821",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.