Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brave North Therapy, LCSW, PLLC

Organization Clinical Social Worker · NPI 1285422881

Brave North Therapy, LCSW, PLLC is a Clinical Social Worker in Port Byron, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2211 State Route 31
Port Byron, NY 13140-9420
Phone: (315) 834-2014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1285422881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Fortin — Owner · (315) 834-2014
NPI enumeratedApril 25, 2025
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 1241, Weedsport, NY 13166-1241

Other providers in Port Byron