Individual provider Active NPI

Joann Steiner Bronfman, LCSW, PSY. D

  • Clinical Social Worker
  • Greenwich, CT
National Provider Identifier
1841556719
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006838 Issued in CT
Practice address
37 N Porchuck Rd
Greenwich, CT 06831-2633
Phone
(914) 755-6472
NPI assigned
Apr 5, 2012
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 R032784 NY
Clinical Social Worker 1041C0700X 006838 CT Primary

Addresses

Primary practice location

37 N Porchuck Rd
Greenwich, CT 06831-2633

Mailing address

37 N Porchuck Rd
Greenwich, CT 06831-2633
Phone (914) 755-6472

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R032784NYMDClinical Social Worker
006838CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Backcountry Wellness LLC Current Accepting new patients
Backcountry Wellness LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1841556719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N PORCHUCK RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312633",
            "telephone_number": "914-755-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N PORCHUCK RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312633",
            "telephone_number": "914-755-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONFMAN",
        "first_name": "JOANN",
        "middle_name": "STEINER",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032784",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.