Individual
JODY BRINSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
343 FOREST AVENUE, PORTLAND, ME 04106-2006
(207) 874-1030
(207) 874-1044
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 842-6556
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC0004374
ME
1041C0700X
Clinical Social Worker
Primary
LC4374
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308520099
—
ME
01
—
RB9
ANTHEM
ME
Enumeration date
11/08/2006
Last updated
12/14/2009
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