Individual provider Active NPI

Lynn Bratman, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1215039888
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102294 Issued in MA
Practice address
339 Broadway
Suite 1
Cambridge, MA 02139-1839
Phone
(617) 491-0201
Fax
(617) 489-7495
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 102294 MA Primary

Addresses

Primary practice location

339 Broadway
Suite 1
Cambridge, MA 02139-1839

Mailing address

339 Broadway
Suite 1
Cambridge, MA 02139-1839
Phone (617) 491-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20091026000082 MA Practitioner - Clinical Social Worker 5496892333 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

339 Broadway
Cambridge, MA 02139-1839
Phone (617) 491-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102294MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215039888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BROADWAY",
            "address_2": "SUITE 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391839",
            "telephone_number": "617-491-0201",
            "fax_number": "617-489-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 BROADWAY",
            "address_2": "SUITE 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391839",
            "telephone_number": "617-491-0201",
            "fax_number": "617-489-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATMAN",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.