Individual provider Active NPI

Brianna Zenkus, LICSW, LADC

  • Clinical Social Worker
  • Bedford, NH
National Provider Identifier
1144711250
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3073 Issued in NH
Practice address
25 S River Rd
Bedford, NH 03110-6708
Phone
(603) 242-2296
NPI assigned
May 24, 2018
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1115 NH
Clinical Social Worker 1041C0700X 3073 NH Primary

Addresses

Primary practice location

25 S River Rd
Bedford, NH 03110-6708

Mailing address

25 S River Rd
Bedford, NH 03110-6708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240913002463 NH Practitioner - Clinical Social Worker 1557801792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Bedford, NH 03110
Phone (603) 242-2296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115NHMDAddiction (Substance Use Disorder) Counselor
3073NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Delaware, Inc CurrentSince Oct 1, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc. Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

25 S River Rd
Ste 307
Bedford, NH 03110
Phone (603) 242-2296

11 Court St
Ste 210
Exeter, NH 03833
Phone (603) 242-2296

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1144711250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106708",
            "telephone_number": "603-242-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENKUS",
        "first_name": "BRIANNA",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.