Individual provider Active NPI

Brenda Marie Velantzas

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1013273069
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
227425 Issued in MA
Practice address
387 Quarry St
Fall River, MA 02723-1025
Phone
(508) 536-3575
Fax
(774) 627-1289
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X MA
Clinical Social Worker 1041C0700X 227425 MA Primary

Addresses

Primary practice location

387 Quarry St
Fall River, MA 02723-1025

Mailing address

387 Quarry St
Fall River, MA 02723-1025
Phone (508) 536-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106000396 MA Practitioner - Clinical Social Worker 4385035088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Family Care Center IncGroup PAC ID 0042120297, 25 clinicians

Practice addresses (Care Compare)

387 Quarry St
Suite 100
Fall River, MA 02723-1007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
227425MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Family Care Center Inc. CurrentSince Oct 13, 2021 Accepting new patients

Locations

387 Quarry St
Ste 100
Fall River, MA 02723
Phone (508) 679-8111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1013273069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-536-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-536-3575",
            "fax_number": "774-627-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELANTZAS",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.