Brooklawn Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001581 Issued in CT

Legal business name

BROOKLAWN WELLNESS CENTER

Practice address

1653 Capitol Avenue
Bridgeport, CT 06604

Phone

(203) 368-0688

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By 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

Mr. Michael Salvatore Guglielmo, LCSW

Title

Owner Licensed Clinical Social WKR

Phone

(203) 368-0688

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, and the practitioner matching its NPPES authorized official.

• Bridget C. Usher, M.F.T.

  • Marriage & Family Therapist
  • Bridgeport, CT
  • NPI 1174665699
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1558542472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 CAPITOL AVENUE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-368-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 CAPITOL AVENUE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-368-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLAWN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER LICENSED CLINICAL SOCIAL WKR",
        "authorized_official_telephone_number": "203-368-0688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Briones, APRN
• Robert William Brody, ND
• Geraldine Bronson, APRN
• Valayshia T Brookins, L.P.C.
• Brooklawn Dental Associates PC
• Lorraine Dionne Brooks-Williams, RN
• Mikael Brooks, LMSW
• Brookside Pediatrics, P.C.
• Ariane Brown, LPC
• Chelsy Brown

• Clinical Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.