Brenda B Donald, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C0902 Issued in MS

Practice address

133 Executive Dr
Suite B
Madison, MS 39110-8440

Phone

(601) 898-7778

NPI assigned

Mar 29, 2007

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

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brenda B. Donald, LLC

  • Clinical Social Worker
  • Madison, MS
  • NPI 1811408545
  Medicare reassignment NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 EXECUTIVE DR",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108440",
            "telephone_number": "601-898-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EXECUTIVE DR",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108440",
            "telephone_number": "601-898-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "BRENDA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Dillon, DMD
• Austin Troy Dillon, D.M.D.
• Lance D Dillon, DMD
• Alexander Dixon, PHARM.D.
• Madina C Dixon, NP
• Vanessa Dorado, M.S., OTR/L, SLP-A
• Morgan Ariel Doty Moody, APRN
• Shekela Douglas, PMHNP
• Sumner B Douglas, NP
• Tracey Lamar Douglas, DMD

• Clinical Social Worker in Madison, MS
• Providers in Madison, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.