Roberta K Brenner, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012408 Issued in PA

Practice address

10 Presidential Blvd
Suite #118
Bala Cynwyd, PA 19004-1107

Phone

(610) 667-5068

Fax

(610) 667-4401

NPI assigned

May 5, 2009

Last updated

May 5, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1043204811
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1356575401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE #118",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-667-5068",
            "fax_number": "610-667-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRESIDENTIAL BLVD",
            "address_2": "SUITE #118",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041107",
            "telephone_number": "610-667-5068",
            "fax_number": "610-667-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "ROBERTA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Brandow, MD
• Eliyahu Breiner, LSW
• Lauren E Brennan, PA-C
• Gail B Brenner, AU.D.
• Ira Brenner, M.D.
• Eddy Armin Bresnitz, MD
• Brian Gallagher Psy.D. LLC
• Brian Goldstein DPM
• Samirah N Bridgeford
• Brandeis Brockman, CRNP

• Clinical Social Worker in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.