Brightside LCSW Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071265-1 Issued in NY

Legal business name

BRIGHTSIDE LCSW SERVICES, PLLC

Doing business as

Brightside Counseling Services

Practice address

40 Gardenville Pkwy Ste 213
West Seneca, NY 14224-1399

Phone

(716) 783-0407

Fax

(716) 393-3430

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Charmaine Ann Fanara, LCSWR

Title

Owner

Phone

(716) 783-0407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brightside Counseling Services Doing business as

Locations

Practitioners 3

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

• Barbara J. Christman, LCSWR

  • Social Worker
  • Amherst, NY
  • NPI 1538275375
  NPD
• Corina M Labin, LCSWR

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1558667550
  NPD
• Kristine Pieczonka, LCSW

  • Clinical Social Worker
  • Tonawanda, NY
  • NPI 1013292978
  NPD

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1871884460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ALYS DR E",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431402",
            "telephone_number": "716-783-0407",
            "fax_number": "716-393-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 213",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241399",
            "telephone_number": "716-783-0407",
            "fax_number": "716-393-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE LCSW SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "FANARA",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-783-0407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071265-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05054586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Breen
• Brian G Smith MD PC
• Brian M. McCourt D.B.a. McCourt Chiropractic
• Margaret Ann Brice, RN
• Melissa Jo Brighham, RN
• George Brimmer
• Britica Management Group Inc (Santangelo Salon)
• Janelle Marie Broecker
• Gregg Broffman, MD
• Nallali Brogan, LCSW

• Clinical Social Worker in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.