Provider Demographics
NPI:1568817831
Name:BRIGHTFUL, KRISTEN RENEE (LICSW, LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:RENEE
Last Name:BRIGHTFUL
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:RENEE
Other - Last Name:VORLAUFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3094 CHARLES TOWN RD
Mailing Address - Street 2:
Mailing Address - City:KEARNEYSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25430
Mailing Address - Country:US
Mailing Address - Phone:304-901-2074
Mailing Address - Fax:304-885-1054
Practice Address - Street 1:3094 CHARLES TOWN RD
Practice Address - Street 2:
Practice Address - City:KEARNEYSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25430
Practice Address - Country:US
Practice Address - Phone:304-901-2074
Practice Address - Fax:304-885-1054
Is Sole Proprietor?:No
Enumeration Date:2016-04-25
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD150941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical