MEDICARE: BRUNILDA GJIMARA LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LICSW1142106	MA

General Provider Information

NPI Number	:	1932969110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUNILDA GJIMARA LICSW

Provider Business Mailing Address
First Line	:	22 BUXTON ST
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-3118
Country	:	US
Telephone Number	:	978-652-8150
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CONGRESS ST
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-5529
Country	:	US
Telephone Number	:	978-222-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	02/12/2026

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