Brenda L. Keenan, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06424 Issued in IA

Practice address

52 Sturgis Corner Dr
Iowa City, IA 52246-5617

Phone

(319) 339-1111

NPI assigned

Nov 15, 2006

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

Other names 1

• Brenda L. Van Pelt Former name

Medicare fee-for-service enrollment

Enrolled in IA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

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.

• Mercy Medical Center

  dba Mercy Family Counseling, Mercy Psychiatric

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1700834165
  Medicare reassignment Care Compare group NPD
• Mercy Medical Center

  dba Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1124190798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STURGIS CORNER DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-339-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 STURGIS CORNER DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-339-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "BRENDA",
        "middle_name": "L.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "VAN PELT",
            "middle_name": "L.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Michael Kearns
• James W Keck, MD
• Kendall Keck, M.D.
• John Charles Keech, MD
• Katherine GC Keech, MD
• Devin Michael Keenan, PA
• Katherine Keeney
• Matthew E Keeney, M.D.
• Jing Huang Kees, MD
• Dana Marie Keeton, LMHC, ATR-BC

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.