Mary Brencick, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008598 Issued in WA

Practice address

1300 NE Goldie St
Oak Harbor, WA 98277-4832

Phone

(360) 240-4043

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1063654523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 CASINO DR",
            "city": "GREENBANK",
            "state": "WA",
            "postal_code": "982539709",
            "telephone_number": "360-678-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE GOLDIE ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774832",
            "telephone_number": "360-240-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENCICK",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Brannon
• Ashley Elizabeth Bratt, CERTIFIED COUNSELOR
• Enid Braun
• Caitlin Elizabeth Brazle, PA-C
• Ashlyn Brehm
• Sabrina Brenner
• Tesa M Brewer, LMT
• Robin Ardee Bridges
• Rebecca Joy Broeckel
• Jessica Brose

• Clinical Social Worker in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.