Individual provider Active NPI

Cara Marie Bryden, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1255691770
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
48 Winnie St
Albany, NY 12208-2012
Phone
(518) 312-3385
NPI assigned
May 17, 2012
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 Primary

Addresses

Primary practice location

48 Winnie St
Albany, NY 12208-2012

Mailing address

48 Winnie St
Albany, NY 12208-2012

Other practice location 1

359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone (518) 587-8008

Other names 1

  • Ms. Cara Marie Defino Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160223000492 NY Practitioner - Clinical Social Worker 8123323581 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Social Worker CurrentSince Jun 1, 2018 Accepting new patients
Pinnacle Behavioral Health Ipa PLLC CurrentSince Dec 28, 2015 Accepting new patients

Locations

10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 587-8241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1255691770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WINNIE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WINNIE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082012",
            "telephone_number": "518-312-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Ballston Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128664723",
            "country_code": "US",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "CARA",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "DEFINO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.