BRIGHTSIDE LCSW SERVICES, PLLC (NPI# 1871884460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871884460 |
| Entity Type | Organization |
| Organization Name | BRIGHTSIDE LCSW SERVICES, PLLC |
| Other Organization Name | BRIGHTSIDE COUNSELING SERVICES |
| Practice Address |
2560 Walden Ave. Ste 101 Cheektowaga NY 14225 |
| Mailing Address |
59 Alys Dr E Depew NY 14043-1402 |
| Practice Telephone | 7167830407 |
| Practice Fax Number | 7163933430 |
| Mailing Telephone | 7167830407 |
| Mailing Fax Number | 7163933430 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MS. CHARMAINE ANN FANARA (OWNER) |
| Authorized Official Telephone | 7167830407 |
| Authorized Official Credential | LCSWR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
071265-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05054586 | 05 |
| Other Name | Type Code |
|---|---|
| Brightside Counseling Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3729 Union Rd, Cheektowaga, NY 142254246 | 7167830407 | 7163933430 |
| Street Address |
2560 WALDEN AVE. STE 101 |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093049397 | Brian Wojcik | Social Worker | 3901 Genesee St, Cheektowaga, NY 14225-1944 | 2009-09-21 |
| 1053592006 | Jennifer Marie Cervi | Social Worker | 2563 Union Rd, Cheektowaga, NY 14227-2275 | 2007-11-19 |
| 1922135334 | John Catalino | Social Worker | 3435 Harlem Rd, Ste 3, Cheektowaga, NY 14225-2021 | 2007-02-27 |
| 1922158690 | Madonna Rae Sweet | Social Worker | 16 Columbus St, Cheektowaga, NY 14227-1251 | 2007-01-12 |
| 1740378751 | Charmaine Ann Fanara | Social Worker | 3729 Union Rd, Cheektowaga, NY 14225-2305 | 2006-10-11 |
| 1568429579 | Diane L. Shultz | Social Worker | 3719 Union Rd, Suite 214, Cheektowaga, NY 14225-4249 | 2006-04-26 |
| 1902414410 | Mary Alison Smith | Social Worker | 1526 Walden Ave Ste 400, Cheektowaga, NY 14225-4985 | 2020-07-21 |
| 1811380645 | Amy Henn | Social Worker | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2015-03-18 |
| 1871926436 | Donald J Dauman | Social Worker | 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225-4985 | 2013-08-18 |
| 1760765150 | Bonnie Elizabeth O'brien | Social Worker | 3901 Genesee St, Suite 110, Cheektowaga, NY 14225-1944 | 2011-09-22 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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| 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.