KRISTIN OBRIEN


Address: 982 E Main St, Bridgeport, CT 06608-1913
Phone: 2036963260

KRISTIN OBRIEN (NPI# 1629588678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629588678
Entity Type Individual
Full Name KRISTIN OBRIEN
Other Name KRISTIN MANN
Credential LCSW
Practice Address 982 E Main St
Bridgeport
CT 06608-1913
Mailing Address 103 W Broad St
Stamford
CT 06902-3713
Practice Telephone 2036963260
Mailing Telephone 2033246147
Enumeration Date 2017-10-04
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
10508 CT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
103 W Broad St, Stamford, CT 069023713 2033246147

Other Providers KRISTIN OBRIEN

NPI Name Taxonomy Address Enumeration
1841813797 Kristin Obrien Early Intervention Provider Agency 1016 Huckleberry Rd, North Bellmore, NY 11710-1916 2020-05-27
1386038230 Kristin Obrien Specialist 1518 Calle Orquideas, Encinitas, CA 92024-4114 2015-03-27
1134507296 Kristin Obrien Behavioral Analyst 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 2015-05-09

Office Location

Street Address 982 E MAIN ST
City BRIDGEPORT
State CT
Zip Code 06608-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952384885 Vitaly Lein Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2005-11-23
1356942494 Marilyn Karen Bartley Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2020-11-04
1609475169 Farihah Janan Ahmed Dentist 982 E Main St, Bridgeport, CT 06608-1913 2020-10-25
1093347114 Alix Pose-sussman Acupuncturist 982 E Main St, Bridgeport, CT 06608-1913 2020-02-06
1326591223 Saif Issac Dentist 982 E Main St, Bridgeport, CT 08806 2016-07-27
1740651884 Michael O'malley Social Worker 982 E Main St, Bridgeport, CT 06608-1913 2015-10-15
1437525110 Myriam H Rodriguez Dental Hygienist 982 E Main St, Bridgeport, CT 06608-1913 2015-08-17
1972907012 Optimus Healthcare Clinic/Center 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 2014-10-17
1447652490 Charles Engle Physician Assistant 982 E Main St, Bridgeport, CT 06608-1913 2014-09-22
1801205463 Carly Gene Staab Nurse Practitioner 982 E Main St, Bridgeport, CT 06608-1913 2014-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184193591 Full Circle Youth Empowerment Community/Behavioral Health 583-585 East Main Street, Bridgeport, CT 06608 2018-11-14
1225548332 Vicarah, LLC Home Health 941 East Main Street, Bridgeport, CT 06608 2017-10-03
1285092346 Heavenly Providers, LLC Home Health 1071 William St, Bridgeport, CT 06608 2016-02-04
1659590131 Annette Tirado Social Worker 982 East Main St, Bridgeport, CT 06608 2007-04-24
1629023536 Brenda I Kulikowski Midwife 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 2006-05-23
1043695588 Kirithika Mohanathaas Internal Medicine 471 Barnum Ave, Bridgeport, CT 06608 2015-07-27
1023225646 Regional Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 74 Huntington Rd, Bridgeport, CT 06608-1006 2007-05-16
1295013910 Lorraine Dionne Brooks-williams Registered Nurse 100 Putnam St, Ph, Bridgeport, CT 06608-1045 2011-07-29
1558480673 City of Bridgeport Health Dept. Clinic/Center 479 Helen St, Bridgeport, CT 06608-1321 2007-03-28
1568795094 Kelly M Bucci-didomenico Nurse Practitioner 479 Helen St, Bridgeport, CT 06608-1321 2009-09-16
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163400 Christine Rene Meredith Social Worker 505 Hovey St, Bridgeport, TX 76426-2923 2020-08-04
1225647597 Synaptic Communications Social Worker 73 Seaside Ave, Bridgeport, CT 06605-3540 2020-07-23
1548878192 Theresa Manuel Social Worker 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 2020-07-20
1396306015 Shanika Rucker Social Worker 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725 2019-06-24
1780147322 Rashanee Green-younger Social Worker 53 Louisiana Ave, Bridgeport, CT 06610-1542 2019-04-10
1396230801 Victoria Zoeller Social Worker 140 John St, Bridgeport, CT 06604-4323 2018-06-27
1396252276 Marriott Lpc Social Worker 3715 Main St Ste 402, Bridgeport, CT 06606-3611 2018-01-02
1477068203 Tonisha Keon Cohen-king Social Worker 957 Evers Street Ext, Bridgeport, CT 06610-1261 2017-12-01
1073027322 Cristine Connor Social Worker 154 Glenbrook Rd, Bridgeport, CT 06610-1149 2017-11-23
1194247916 Jessica M. Maddern Social Worker 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 2017-07-13
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Competitor

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City BRIDGEPORT
Zip Code 06608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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