Individual provider Active NPI

Brenda Marsha Cullom, LCSW

  • Clinical Social Worker
  • Branford, CT
National Provider Identifier
1134471220
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003195 Issued in CT
Practice address
209 Montowese St Ste 2N
Branford, CT 06405-3868
Phone
(203) 433-6993
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003195 CT Primary

Addresses

Primary practice location

209 Montowese St Ste 2N
Branford, CT 06405-3868

Mailing address

53 Summer St
Guilford, CT 06437-3470
Phone (203) 988-6549

Other practice location 1

157 Goose Ln
Guilford, CT 06437-2100
Phone (203) 988-6549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040728001596 CT Practitioner - Clinical Social Worker 8325018187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003195CTMDClinical Social Worker
3195CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Attraversiamo LLC CurrentSince Feb 27, 2026 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brendam.cullom@xdr.hhchealthdirect.org

Organizations & group practices 2

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1134471220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SUMMER ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064373470",
            "telephone_number": "203-988-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MONTOWESE ST STE 2N",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053868",
            "telephone_number": "203-433-6993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Goose Ln",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372100",
            "country_code": "US",
            "telephone_number": "203-988-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLOM",
        "first_name": "BRENDA",
        "middle_name": "MARSHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.