Brenda Worrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003317 Issued in VA

Practice address

500 Glendale Rd
Galax, VA 24333-2208

Phone

(276) 236-1699

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: brenda.worrell.1@10112.direct.athenahealth.com

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.

• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past)
• Twin County Family Care Centers Inc

  • Primary Care Clinic/Center
  • Galax, VA
  • NPI 1023056926
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1104869692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332208",
            "telephone_number": "276-236-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010210593",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josee Williams, P.T., CSCS, CERT MDT
• Lindi Marie Williams, OD
• David Wilson, P.T.,C.W.S
• Martha L Wilson, M.D.
• Bret Tyler Woodruff, LPC
• Scott Alan Wright, MD
• Susan C Wylie, RD

• Clinical Social Worker in Galax, VA
• Providers in Galax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.