Darrin Samuel Bronfman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003592 Issued in GA

Practice address

4530 S Berkeley Lake Rd
B
Norcross, GA 30071-1660

Phone

(770) 446-5642

Fax

(770) 446-5643

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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 GA

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1275618449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S BERKELEY LAKE RD",
            "address_2": "B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711660",
            "telephone_number": "770-446-5642",
            "fax_number": "770-446-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S BERKELEY LAKE RD",
            "address_2": "B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711660",
            "telephone_number": "770-446-5642",
            "fax_number": "770-446-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONFMAN",
        "first_name": "DARRIN",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Brennen, NP
• Jaquan Bridges
• Shelby J Britt, DC
• Diamond Brock
• Lenese Brock
• Dorothy Mae Brooks Thomas, LMT MMP
• Robert Keith Broome Jr., DDS
• Alexis Brown
• Kerene T Brown, LCSW
• Latasha Shaniel Brown, LPC

• Clinical Social Worker in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.