Lanette T Bryant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC21711 Issued in ME

Practice address

98 Margaret St Apt D
South Portland, ME 04106-2057

Phone

(207) 357-2969

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1881302404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MARGARET ST APT D",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062057",
            "telephone_number": "207-357-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MARGARET ST APT D",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062057",
            "telephone_number": "207-357-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Lydia Ln",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062156",
            "country_code": "US",
            "telephone_number": "207-874-1175",
            "fax_number": "207-874-1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LANETTE",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Brown, P.T.
• Ryan W. Brown, MPT
• Madonna E Browne, M.D.
• Robert Merlin Brubaker, HS
• Kai Crowell Bry
• Daniel John Bulanowski, M.D.
• Joseph M. Bullinger, BA, MS, CADC
• Lisa L Bulthuis, NP
• Erin Burke, LPN
• Mary Catherine Burke, PT, DPT

• Clinical Social Worker in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.