Brianna R Bodary, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

311 N 2ND Ave
Alpena, MI 49707-2865

Phone

(989) 340-1466

Fax

(989) 538-8790

NPI assigned

Oct 4, 2020

Last updated

Oct 4, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charis Counseling Services of Northeast Michigan, Inc

  • Mental Health Counselor
  • Alpena, MI
  • NPI 1285117093

  Clinical

  NPD (past)
• Charis Counseling Services of Northeast Michigan, PLLC

  • Multi-Specialty Clinic/Center
  • Alpena, MI
  • NPI 1548656416

  Clinical

  NPD (past)

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1235736141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070586",
            "telephone_number": "989-340-1466",
            "fax_number": "989-538-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072865",
            "telephone_number": "989-340-1466",
            "fax_number": "989-538-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODARY",
        "first_name": "BRIANNA",
        "middle_name": "R",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LICENSED MASTER SOCIAL WORK",
            "identifier": "6801108196",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Berzack, LLPC
• Shalina Bigham, BSN RN
• Heather Marie Birmingham, PA-C
• Brittany Blalock
• Rachel Blankenship
• Bradley Allen Boehm, DO
• Elizabeth Boldt
• Alyson Bono
• Alissa Ellen Borowiak, RN, BSN
• Shelby Boss, RN

• Clinical Social Worker in Alpena, MI
• Providers in Alpena, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.