Individual provider Active NPI

Bret Damon Kirson, LCSW

  • Clinical Social Worker
  • Westampton, NJ
National Provider Identifier
1861700676
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107715 Issued in TX
Practice address
770 Woodlane Rd
Westampton, NJ 08060
Phone
(609) 267-5928
NPI assigned
Sep 15, 2010
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 44SC05416100 NJ
Clinical Social Worker 1041C0700X 107715 TX Primary

Addresses

Primary practice location

770 Woodlane Rd
Westampton, NJ 08060

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

Other practice location 1

166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040

Other practice location 2

8500 Village Dr Ste 101
San Antonio, TX 78217-5510
Phone (726) 201-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NC, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190530000846 NJ Practitioner - Clinical Social Worker 8921341280 Reassigns benefits to 1 organization
I20220629000908 TX Practitioner - Clinical Social Worker 8921341280 Reassigns benefits to 1 organization
I20240930000569 NC Practitioner - Clinical Social Worker 8921341280 Reassigns benefits to 1 organization
I20241004000440 OH Practitioner - Clinical Social Worker 8921341280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Behavioral Health LLCGroup PAC ID 2365838406, 5 clinicians

Practice addresses (Care Compare)

100 Horizon Ctr Blvd
Hamilton, NJ 08691-1910
Phone (609) 934-4242

930 Tate Blvd SE
Suite 101
Hickory, NC 28602-4033
Phone (866) 402-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional la, LLC CurrentSince Aug 2, 2024 Accepting new patients
Clarity Behavioral Health LLC CurrentSince Jun 5, 2025 Accepting new patients
Eleanor Health Professional Oh, LLC CurrentSince Aug 15, 2024 Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince Aug 19, 2024 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Guided Journey Counseling Center Clinical Past Accepting new patients

Locations

3901 Houma Blvd
Ste 404
Metairie, LA 70006
Phone (504) 226-8768

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

930 Tate Blvd SE
Ste 101
Hickory, NC 28602

100 Horizon Center Blvd
Trenton, NJ 08691
Phone (609) 558-6583

789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153

8500 Village Dr
Ste 101
San Antonio, TX 78217
Phone (726) 201-3047

Interoperability endpoints

  • Direct secure messaging: bret.kirson.1@21505.direct.athenahealth.com

Organizations & group practices 7

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1861700676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-267-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-267-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Main St",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077473104",
            "country_code": "US",
            "telephone_number": "732-290-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Village Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175510",
            "country_code": "US",
            "telephone_number": "726-201-3047",
            "fax_number": "833-629-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSON",
        "first_name": "BRET",
        "middle_name": "DAMON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05416100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.