Healthcare Provider Details

I. General information

NPI: 1679408439
Provider Name (Legal Business Name): LYNDSAY JENSEN BRATTAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 PAYSON ST
WINTHROP MA
02152-1639
US

IV. Provider business mailing address

1550 SOLDIERS FIELD RD UNIT 520
BRIGHTON MA
02135-1153
US

V. Phone/Fax

Practice location:
  • Phone: 603-205-6155
  • Fax:
Mailing address:
  • Phone: 603-205-6155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: