Brenda Kissane, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123662 Issued in MA

Practice address

19 Front St Ste 202
Salem, MA 01970-3795

Phone

(978) 621-0583

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1962855486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CROMBIE ST UNIT 9",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703365",
            "telephone_number": "978-621-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRONT ST STE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703795",
            "telephone_number": "978-621-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael King
• Thomas E Kingston, MD
• Ruby Jeanne Kinnon, RN
• Jessica Kirk, DNP, PMHNP
• Peter A. Kirkpatrick, MD
• Jennifer Marie Kitano, M.S., ATC,OTC,OT-SC
• Erica Lee Klag, RD
• Allyson Tatem Klay, PSYD
• William Klemczuk Jr., DNP, CRNA
• Kim Kline Franklin

• Clinical Social Worker in Salem, MA
• Providers in Salem, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.