Lisa Brayton I, LSW
Individual provider Active NPI Social Worker · Wakefield, MA
NPI 1831546324 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1831546324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 314077 (MA)
- Practice address
- 27 Water St
Suite 109
Wakefield, MA 01880-3032 - Phone
- (781) 246-2003
- Fax
- (781) 245-6377
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314077 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 314077 | MA | Yes |
Addresses
Primary practice location
27 Water St
Suite 109
Wakefield, MA 01880-3032
Mailing address
27 Water St
Suite 109
Wakefield, MA 01880-3032
Phone (781) 246-2003
Other providers in Wakefield, MA
- Alexis Boodry
- Taylor Booth
- Boston Brightsmile LLC
- Boston Medical Center
- Christine Louise Botthof
- Marissa Ann Breault
- Lauren E Brierly
- Mary Rose Briggs
- Brightview Wakefield, LLC
- Brown Dog Therapy and Wellness, LLC
All providers in Wakefield, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.