Bret J. Nielson, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRET J. NIELSON, LLC

Practice address

1518 Walnut St Ste 1100
Philadelphia, PA 19102-3406

Phone

(224) 408-0390

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Bret John Nielson, LCSWNPI 1639776149

Title

Director

Phone

(224) 408-0390

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bret Nielson, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1639776149
  NPD Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1326644139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "224-408-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023406",
            "telephone_number": "224-408-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Orrington Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013860",
            "country_code": "US",
            "telephone_number": "224-408-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRET J. NIELSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "224-408-0390",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Breslin
• Kathleen Marie Breslinfoulkrod, COTA/L, B.S.
• Jordan Breslow
• Josefine Bress, MA, CCC-SLP
• Eric Bressman, M.D.
• Jessica Breton, MD
• Ingrid Swanson Bretschger, LCSW
• Lisa Marie Bretzger, PA-C
• Abigail C Bretzin, PHD, ATC
• Katherine M Breuninger, CRNP

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.