Marcella Lorraine Brimo, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046250-1 Issued in NY

Practice address

Buffalo General Hospital
80 Goodrich Street
Buffalo, NY 14203

Phone

(716) 859-4573

Fax

(716) 859-2560

NPI assigned

May 14, 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Third Wave Psychotherapy

  • Clinical Social Worker
  • Snyder, NY
  • NPI 1194219923
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154536852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 SPRINGVILLE AVENUE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262858",
            "telephone_number": "716-834-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUFFALO GENERAL HOSPITAL",
            "address_2": "80 GOODRICH STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-859-4573",
            "fax_number": "716-859-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMO",
        "first_name": "MARCELLA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046250-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Briggs, R.D.
• Carrie Brigham
• Lukas Brightman, PHARMD
• Ariel Briguglio
• Ian T Brill
• Lori A Brinda
• Joseph Vincent Brindisi, FNP
• Marie-Lourdes Bringhurst, CRNA
• Emily Brinkworth
• Marjorie Brinson, LCSW

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.