Active NPI
Brunilda Gjimara, LICSW
- Clinical Social Worker
- Salem, MA
National Provider Identifier
1932969110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1142106
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW1142106 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ego Therapy, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Danvers, MA
- NPI 1801759261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.