Individual provider Active NPI

Anne Elizabeth Brightsen, LCSW-R

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1720183064
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0701801 Issued in NY
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

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
713666OtherNYMVP 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

LicenseStateTypeSpecialty
C006278NCMDClinical Social Worker
0701801NYMDClinical Social Worker
070180NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.