Active NPI
Dounia Brutus
- Social Worker
- Bridgeport, CT
National Provider Identifier
1548982630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 170 Bennett St
Bridgeport, CT 06605-2901 - Phone
- (475) 301-6118
- Fax
- (203) 330-6756
- NPI assigned
- Sep 15, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
170 Bennett St
Bridgeport, CT 06605-2901
Mailing address
85 Vanguard St
Bridgeport, CT 06606-2218
Phone (203) 908-8625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Electronically | Health Information Exchange (HIE) | Boys and Girls Village |
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": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1548982630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 VANGUARD ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062218",
"telephone_number": "203-908-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 BENNETT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066052901",
"telephone_number": "475-301-6118",
"fax_number": "203-330-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "DOUNIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Electronically",
"affiliation": "Y",
"endpointDescription": "securerecords.BGV.html",
"affiliationName": "Boys and Girls Village",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "170 Bennett St",
"city": "Bridgeport",
"state": "CT",
"country_code": "US",
"postal_code": "066052901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.