Active NPI
Rebecca Desautels Brickman
- Clinical Social Worker
- Canton, CT
National Provider Identifier
1326247446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 50 Albany Tpke Ste 3010
Canton, CT 06019-2555 - Phone
- (860) 516-5062
- NPI assigned
- Jul 18, 2007
- Last updated
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
50 Albany Tpke Ste 3010
Canton, CT 06019-2555
Mailing address
137 Duncaster Rd
Bloomfield, CT 06002-1222
Other practice location 1
91 Northwest Dr
Plainville, CT 06062-1534
Phone (860) 241-0317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1326247446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 DUNCASTER RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALBANY TPKE STE 3010",
"city": "CANTON",
"state": "CT",
"postal_code": "060192555",
"telephone_number": "860-516-5062"
}
],
"practiceLocations": [
{
"address_1": "91 Northwest Dr",
"address_purpose": "LOCATION",
"city": "Plainville",
"state": "CT",
"postal_code": "060621534",
"country_code": "US",
"telephone_number": "860-241-0317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRICKMAN",
"first_name": "REBECCA",
"middle_name": "DESAUTELS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.