Brenda L. Farside LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000612 Issued in DE

Legal business name

BRENDA L. FARSIDE LCSW LLC

Doing business as

Kindred Counseling

Practice address

3519 Silverside Rd
Ridgely BLDG, Suite 101B
Wilmington, DE 19810-4909

Phone

(302) 438-2796

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Lynn Farside, LCSWNPI 1861617136

Title

Ceo

Phone

(302) 438-2796

Specialties & licenses 1

Addresses

Other names 1

• Kindred Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Lynn Farside, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1861617136
  NPD Authorized official

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1467747956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 SILVERSIDE RD",
            "address_2": "RIDGELY BLDG, SUITE 101B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104909",
            "telephone_number": "302-438-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 SILVERSIDE RD",
            "address_2": "RIDGELY BLDG, SUITE 101B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104909",
            "telephone_number": "302-438-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA L. FARSIDE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "FARSIDE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-438-2796",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syreeta Bratton, LSW, LCADC
• Heather Marflak Braut, OTRL
• Bradley R Braxton
• Robert J Brecher, PSYD
• Joel Brelo
• Ellen Bryn Brennan, NP
• Margaret Susan Brenner, LCSW
• Brent Wedman LLC
• Annemarie C. Brescia, MD
• Glenna Breslin Cordo, FNP-BC

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.