Active NPI
Elyse Bryman, LCSW
- Clinical Social Worker
- Marietta, GA
National Provider Identifier
1952038994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW010136
- Practice address
- 630 Village Trce NE BLDG 15E
Marietta, GA 30067-1516 - Phone
- (770) 609-7885
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090400226 | VA | |
| Clinical Social Worker | 1041C0700X | CSW010136 | GA | Primary |
Addresses
Primary practice location
630 Village Trce NE BLDG 15E
Marietta, GA 30067-1516
Mailing address
630 Village Trce NE BLDG 15E
Marietta, GA 30067-1516
Phone (770) 609-7885
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mindfulsolutions-therapy.com/ | ||
| CONNECT URL | https://www.ebtcollaborative.com/ | Evidence Based Treatment Collaborative |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW010136 | GA | MD | Clinical Social Worker |
| 090400226 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Solutions Therapy | Clinical | Current | Accepting new patients |
Locations
630 Village Trce NE
Bldg 15E
Marietta, GA 30067
Phone (678) 382-2916
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
- Marietta, GA
- NPI 1932045671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777161600000",
"number": "1952038994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 VILLAGE TRCE NE BLDG 15E",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300671516",
"telephone_number": "770-609-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 VILLAGE TRCE NE BLDG 15E",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300671516",
"telephone_number": "770-609-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYMAN",
"first_name": "ELYSE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2026-04-26",
"certification_date": "2026-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "090400226",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW010136",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mindfulsolutions-therapy.com/",
"affiliation": "N",
"address_1": "630 Village Trce NE Bldg 15E",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300671516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.ebtcollaborative.com/",
"affiliation": "Y",
"affiliationName": "Evidence Based Treatment Collaborative",
"address_1": "4000 Legato Rd Fl 11",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220332892",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.