Active NPI
Brenna Marie Udder
- Social Worker
- Zanesville, OH
National Provider Identifier
1164201547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 58 N 5TH St Ste 102
Zanesville, OH 43701-3527 - Phone
- (740) 214-6443
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
58 N 5TH St Ste 102
Zanesville, OH 43701-3527
Mailing address
16948 Township Road 483a
Coshocton, OH 43812-9421
Phone (740) 502-6031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Pathways Counseling, LLC | Current | Accepting new patients | |
| Restorative Pathways Counseling, LLC | Social Worker | Current | Accepting new patients |
Locations
58 N 5th St
Ste 102
Zanesville, OH 43701
Phone (740) 214-6443
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Zanesville, OH
- NPI 1215408000
Social Worker
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Zanesville, OH
- NPI 1700371267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1164201547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16948 TOWNSHIP ROAD 483A",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438129421",
"telephone_number": "740-502-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 N 5TH ST STE 102",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437013527",
"telephone_number": "740-214-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDDER",
"first_name": "BRENNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.