Individual provider Active NPI

Nicole Brenneman, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1215305446
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8278 Issued in OR
Practice address
231 SW Scalehouse Loop Ste 202
Bend, OR 97702-1277
Phone
(541) 316-0066
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 L8278 OR Primary

Addresses

Primary practice location

231 SW Scalehouse Loop Ste 202
Bend, OR 97702-1277

Mailing address

231 SW Scalehouse Loop Ste 202
Bend, OR 97702-1277
Phone (541) 316-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200327000683 OR Practitioner - Clinical Social Worker 1456788793 Reassigns benefits to 1 organization
Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

379 NW 27TH CT
Redmond, OR 97756-7216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8278ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon CurrentSince Jan 10, 2020 Accepting new patients
Brightways Counseling Group LLC Clinical CurrentSince Mar 10, 2021 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

1435 NE 4th St
Bend, OR 97701
Phone (541) 625-4327

2411 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-3608

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

101 W 5th St
Eugene, OR 97401
Phone (541) 342-1697

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Organizations & group practices 3

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1215305446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SW SCALEHOUSE LOOP STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021277",
            "telephone_number": "541-316-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SW SCALEHOUSE LOOP STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021277",
            "telephone_number": "541-316-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.