Individual provider Active NPI

Bridget Casey Brenton, LISW

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1366847964
Registry record updated Feb 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06207 Issued in IA
Practice address
52 Sturgis Corner Dr
Iowa City, IA 52246-5617
Phone
(319) 331-1611
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2015

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 06207 IA Primary

Addresses

Primary practice location

52 Sturgis Corner Dr
Iowa City, IA 52246-5617

Mailing address

1434 Oaklawn Ave
Iowa City, IA 52245-5647
Phone (319) 331-1611

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

State licenses

LicenseStateTypeSpecialty
06207IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness Counseling Center Current Accepting new patients

Locations

1101 5th St
Ste 103
Coralville, IA 52241
Phone (319) 354-5030

Organizations & group practices 1

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1366847964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 OAKLAWN AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522455647",
            "telephone_number": "319-331-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 STURGIS CORNER DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-331-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTON",
        "first_name": "BRIDGET",
        "middle_name": "CASEY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.