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 provides Clinical Social Worker services 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

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