Brenda Stoll Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2032712 Issued in MA

Practice address

681 Simonds Rd
Williamstown, MA 01267-2105

Phone

(413) 458-9600

NPI assigned

Sep 28, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Siracusa Associates Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Williamstown, MA
  • NPI 1629529011
  NPD (past)
• Williamstown Behavioral Health Associates

  dba Sullivan Associates Behavioral Health

  • Psychologist
  • North Adams, MA
  • NPI 1417023672
  NPD (past)
• Vna & Hospice of the Southwest Region, Inc

  • Physical Therapist
  • Rutland, VT
  • NPI 1235574476
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1376052761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 OBLONG RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012673095",
            "telephone_number": "413-884-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SIMONDS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672105",
            "telephone_number": "413-458-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "STOLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "2032712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaye Therese Shaddock
• Amy Sheahan
• Jacob T Shelsy, PA-C
• Stephanie Lynn Shoffstall, LCSW/LICSW
• Siracusa Associates Behavioral Health LLC
• Michaelia L St. Jacques
• Elizabeth Anne Staley, LCSW, LICSW, LPC
• Stephen L Payne, MD, PC
• Noelle Donna Sullivan, PT
• Michael F. Sussman, M.D.

• Clinical Social Worker in Williamstown, MA
• Providers in Williamstown, 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 Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.