Brenda Lee Canady, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117516 Issued in MA

Practice address

19 Centre St
Danvers, MA 01923-1406

Phone

(978) 594-7340

NPI assigned

Aug 14, 2020

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1306457015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CENTRE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231406",
            "telephone_number": "978-594-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CENTRE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231406",
            "telephone_number": "978-594-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF PAY",
            "identifier": "1500",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.canady.2@upload.dotloop.com",
            "affiliation": "N",
            "endpointDescription": "Secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "19 Centre St",
            "city": "Danvers",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019231406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Callahan
• Kerri Ann Callahan, LICSW
• Marijke Callahan
• Philip Ryan Molarte Camilon, M.D.
• Abigail Campbell
• Carrie Cannon, NP
• Ashley M Capdeville, MA
• Keri Capobianco, RN, PMHNP
• Marisa Ann Cappadona, CTRS
• Andrea Cappucci

• Clinical Social Worker in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.