National Provider Identifier
Brightside Lcsw Services, PLLC
Brightside Lcsw Services, PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in West Seneca, NY and a listed phone number of (716) 783-0407.
Source: public NPPES record, last updated April 18, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1871884460
- Provider Type
- Organization
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 29, 2011
- Last Updated
- April 18, 2022
Practice Location
- 40 Gardenville Pkwy Ste 213
- West Seneca, NY 14224-1399
Phone: (716) 783-0407
Mailing Address
- 59 Alys Dr E
- Depew, NY 14043-1402
Authorized Official
- Name
- MS. Charmaine Ann Fanara
- Title
- Owner
- Credentials
- LCSWR
- Phone
- (716) 783-0407
Specialties
- Clinical Social Worker (1041C0700X)
Browse Similar Providers
See more providers in the Social Worker classification in Buffalo, NY.
Organization Overview
BRIGHTSIDE LCSW SERVICES, PLLC operates in the Buffalo-area community of West Seneca as Brightside Counseling Services, a mental health counseling practice. Public summaries of the practice’s own site describe services for PTSD, depression, anxiety, bipolar disorder, adult ADHD, grief and loss, and personality disorders, and identify Charmaine Fanara as the owner and a licensed clinical social worker with long counseling experience. New York business records also connect the PLLC with the Brightside Counseling Services assumed name through the Department of State public inquiry system.
Full Record
- NPI
- 1871884460
- Entity Type
- Organization
- Organization Name
- Brightside Lcsw Services, PLLC
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 59 Alys Dr E
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1402
- Mailing Country
- US
- Mailing Phone
- (716) 783-0407
- Mailing Fax
- (716) 393-3430
- Practice Street Address
- 40 Gardenville Pkwy Ste 213
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1399
- Practice Country
- US
- Practice Phone
- (716) 783-0407
- Practice Fax
- (716) 393-3430
- Enumeration Date
- April 29, 2011
- Last Updated
- April 18, 2022
- Authorized Official Last Name
- Fanara
- Authorized Official First Name
- Charmaine
- Authorized Official Middle Name
- Ann
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 783-0407
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- LCSWR
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 18, 2022
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 05054586 (NY)