Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brave North Therapy, Lcsw, Pllc

Clinical Social Worker in Port Byron, NY · enumerated 2025 · authorized official Kimberly Fortin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285422881

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Registry record

Entity type Organization (Type 2)

Legal business name Brave North Therapy, Lcsw, Pllc

Practice address 2211 State Route 31, Port Byron, NY, 13140

Phone (315) 834-2014

Enumeration date Apr 25, 2025

Last updated in NPPES Jan 8, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Kimberly Fortin

Title Owner

Phone (315) 834-2014

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-08. Verify at npiregistry.cms.hhs.gov.

Where is Brave North Therapy, Lcsw, Pllc located?

The practice location on file with NPPES is in Port Byron, NY.

Providers at this address

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Kimberly Fortin Clinical Social Worker · Port Byron, NY NPI 1215046123

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-08.