Tesa Brody-Wrye, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008382 Issued in VA

Practice address

120 Bellview Ave
Winchester, VA 22601-3142

Phone

(540) 542-0200

NPI assigned

Oct 29, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1467880567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BLUEBELL CT",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BELLVIEW AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013142",
            "telephone_number": "540-542-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY-WRYE",
        "first_name": "TESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightmorr Enterprises
• Amanda Coffman Brill, M.S. CCC SLP
• Brooke Ellen Brining, RN
• William Clarence Brink, MD
• Denise Marie Britt, MSW LCSW
• Marilyn Brohawn, RN
• Hillary Brooks, LCSW
• Jenise Nicole-Britt Broome, LPC
• Amy M. Brown, CRNA
• Andrew Keone Brown, MD

• Clinical Social Worker in Winchester, VA
• Providers in Winchester, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.