Bright Tide Counseling LLC – Clinical Social Worker

Key facts

NPI: 1164097010
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: BRIGHT TIDE COUNSELING LLC
Practice address: 12 Westbranch Rd
Cumberland, ME 04021-3240
Phone: (207) 272-4248
NPI assigned: May 24, 2021
Organization subpart: No

Authorized official

Name: Paul B Murphy, LCSW
Title: Owner
Phone: (207) 272-4248

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

12 Westbranch Rd
Cumberland, ME 04021-3240

Mailing address

12 Westbranch Rd
Cumberland, ME 04021-3240
Phone (207) 272-4248

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2021.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1164097010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WESTBRANCH RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213240",
            "telephone_number": "207-272-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBRANCH RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213240",
            "telephone_number": "207-272-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT TIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-272-4248",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, ME

All providers in Cumberland, ME · Clinical Social Worker in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.