Bravemind Counseling, Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVEMIND COUNSELING, LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

110 Pleasant Street
Colfax, CA 95713

Phone

(530) 401-2245

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Lescher, LCSW

Title

Chief Executive Officer

Phone

(530) 401-2245

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Laferriere, LCSW

  • Clinical Social Worker
  • Crescent City, CA
  • NPI 1285025486

  Clinical

  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1851002679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957131598",
            "telephone_number": "530-401-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PLEASANT STREET",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "95713",
            "telephone_number": "530-401-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVEMIND COUNSELING, LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "LESCHER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-401-2245",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auburn Eye Care Associates
• Daniel Alan Belajic, OD
• Olga Borovic Benardo
• Arthur Carl Bern Jr., LVN
• Gloria Marie Bertacchi
• Aeneas Chance, PHARM.D.
• Colfax Drug Company, LLC
• Colfax Elementary School District
• Shelby Conklin, PA-C
• Miranda Couche, RDH

• Clinical Social Worker in Colfax, CA
• Providers in Colfax, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.