Brief Therapy Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4088 Issued in ME

Legal business name

BRIEF THERAPY ASSOCIATES

Practice address

95 India St
Portland, ME 04101-4250

Phone

(207) 672-2373

Fax

(207) 773-6207

NPI assigned

May 11, 2006

Last updated

Apr 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn T. Bronzi, LCSWNPI 1740465079

Title

President

Phone

(207) 671-2373

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn T Bronzi, LCSW

  • Clinical Social Worker
  • South Freeport, ME
  • NPI 1740465079
  NPD (past) Authorized official
• Mary C Gillies, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1407959034
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1922058122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "SOUTH FREEPORT",
            "state": "ME",
            "postal_code": "040780014",
            "telephone_number": "207-671-2373",
            "fax_number": "207-773-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014250",
            "telephone_number": "207-672-2373",
            "fax_number": "207-773-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIEF THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "BRONZI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-671-2373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1032675",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7853446",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "81669",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "0004665",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "016598",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Brewster
• Steven James Brewster, MD
• Jordan Renee Bricknell, PA-C
• Patrick Hayden Bride, PHARMD
• Bridgecare ABA Me LLC
• Samuel Royden Briggs, DO
• Bright Lantern Home Care
• Bright Legacy Care LLC
• Bright Star Residential Care LLC
• Jordan J. Bright, NP

• Clinical Social Worker in Portland, ME
• Providers in 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 Apr 8, 2009; 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.