Individual provider Active NPI

Brunilda Gjimara, LICSW

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1932969110
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1142106 Issued in MA
Practice address
35 Congress St
Salem, MA 01970-5529
Phone
(978) 222-0555
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LICSW1142106 MA Primary

Addresses

Primary practice location

35 Congress St
Salem, MA 01970-5529

Mailing address

22 Buxton St
Peabody, MA 01960-3118
Phone (978) 652-8150

Other practice location 1

22 Buxton St
Peabody, MA 01960-3118
Phone (978) 652-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260421000216 MA Practitioner - Clinical Social Worker 1759857394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ego Therapy LLCGroup PAC ID 0840766481, 2 clinicians

Practice addresses (Care Compare)

22 Buxton St
Peabody, MA 01960-3118
Phone (978) 652-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1142106MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ego Therapy, LLC Clinical CurrentSince Dec 7, 2025 Accepting new patients

Locations

199 Rosewood Dr
Danvers, MA 01923
Phone (978) 291-7065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1932969110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BUXTON ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603118",
            "telephone_number": "978-652-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705529",
            "telephone_number": "978-222-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Buxton St",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603118",
            "country_code": "US",
            "telephone_number": "978-652-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJIMARA",
        "first_name": "BRUNILDA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1142106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.