Active NPI
Bret Damon Kirson, LCSW
- Clinical Social Worker
- Westampton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107715
- Practice address
- 770 Woodlane Rd
Westampton, NJ 08060 - Phone
- (609) 267-5928
- NPI assigned
- Sep 15, 2010
- Last updated
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional la, LLC | Current | Accepting new patients | |
| Clarity Behavioral Health LLC | Current | Accepting new patients | |
| Eleanor Health Professional Oh, LLC | Current | Accepting new patients | |
| Eleanor Health Professional NC, PLLC | Current | Accepting new patients | |
| Eleanor Health Professional TX, PLLC | Current | Accepting new patients | |
| Eleanor Health Professional TX, PLLC | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hamilton, NJ
- NPI 1649926957
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Akron, OH
- NPI 1730782475
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Antonio, TX
- NPI 1932854981
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Lafayette, LA
- NPI 1265050736
-
- Addiction Psychiatry Physician
- Denver, CO
- NPI 1891583480
-
- Clinical Social Worker
- Highland Park, NJ
- NPI 1174290852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.