Active NPI
Anne Elizabeth Brightsen, LCSW-R
- Clinical Social Worker
- Norwich, NY
National Provider Identifier
1720183064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0701801
- Practice address
- 55 Calvary Dr
Norwich, NY 13815-1032 - Phone
- (607) 336-6362
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0701801 | NY | Primary |
| Clinical Social Worker | 1041C0700X | C006278 | NC |
Addresses
Primary practice location
55 Calvary Dr
Norwich, NY 13815-1032
Mailing address
55 Calvary Dr
Norwich, NY 13815-1032
Phone (607) 336-6362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713666 | Other | NY | MVP HMO MOHAWK VALLEY PLA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006278 | NC | MD | Clinical Social Worker |
| 0701801 | NY | MD | Clinical Social Worker |
| 070180 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango County Catholic Charities | Past | Accepting new patients | |
| Catholic Charities of Chenango County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Norwich, NY
- NPI 1285027458
-
- Voluntary or Charitable Agency
- Norwich, NY
- NPI 1447318662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1720183064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CALVARY DR",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151032",
"telephone_number": "607-336-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALVARY DR",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151032",
"telephone_number": "607-336-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTSEN",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0701801",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006278",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HMO MOHAWK VALLEY PLA",
"identifier": "713666",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.