Cynthia L Brizius, MSW LCSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005233A Issued in IN

Practice address

4770 Covert Ave
Suite 200
Evansville, IN 47714-5617

Phone

(812) 459-3401

NPI assigned

Oct 17, 2006

Last updated

Jul 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Martha Ann Brandt, Inc

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1467752071
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1780764068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 WELLTON DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257514",
            "telephone_number": "812-459-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 COVERT AVE",
            "address_2": "SUITE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477145617",
            "telephone_number": "812-459-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZIUS",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Prof.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34005233",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000494756",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brilliant Connections, Inc
• Lakisha Brimage, LPCC
• Melba Calderon Briones, M.D.
• Kaitlyn Grace Brittingham, LCSW
• Natalie Beth Britton, MS, OTR/L
• Scott R Brizius, OD
• Daniel L Broerman, DO
• Christy Bromm, PTA
• Nova Bromm, RBT
• Robert Edward Bromm, O.D.

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, 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, 2012; 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.