KRISTIN OBRIEN (NPI# 1629588678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10508 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 W Broad St, Stamford, CT 069023713 | 2033246147 |
| 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 |
| Street Address |
982 E MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1913 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06608 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
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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.