Nancy Bryant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004946A Issued in IN

Practice address

928 E Wayne St
Suite C
South Bend, IN 46617-3024

Phone

(574) 286-0030

Fax

(574) 234-1994

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Counseling Services PC

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1619181757
  NPD (past) Authorized official
• Dr Heather Holleman LLC

  • Clinical Psychologist
  • South Bend, IN
  • NPI 1942999636
  NPD
• Reflections Counseling

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1023428711
  NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629108121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53658 MARK DR",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465079710",
            "telephone_number": "574-286-0030",
            "fax_number": "574-234-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E WAYNE ST",
            "address_2": "SUITE C",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173024",
            "telephone_number": "574-286-0030",
            "fax_number": "574-234-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004946A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000373892",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth David Brunner, DPT
• Ashley Brunt, LSW
• Randy Joseph Brush, P.A.
• Connie Marie Bryan, RN
• Geraldne F Bryan, MSW, LCSW
• Janiah Buchanon, RBT
• Kaedon Izaac Buchmiller, DO
• Richard C Buck, M.D.
• Wendi Buckley, O.T.
• Michael John Buczolich Jr., DDS

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.