Karen E Brennan, LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

960 Reservoir Ave Ste 4
Cranston, RI 02910-4447

Phone

(401) 383-3732

Fax

(401) 942-3732

NPI assigned

Sep 2, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Neuroperformance of Rhode Island, LLC

  • Clinical Neuropsychologist
  • N Providence, RI
  • NPI 1740810548
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1376645960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RESERVOIR AVE STE 4",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104447",
            "telephone_number": "401-383-3732",
            "fax_number": "401-942-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RESERVOIR AVE STE 4",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104447",
            "telephone_number": "401-383-3732",
            "fax_number": "401-942-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Brancato, LICAC
• Patrick Joseph Brannon, M.D.
• Regina Brannon, NP
• Doreen Marie Braz, APRN
• Joan Elizabeth Brennan, RNP
• Annette Estelle Briand, LICSW
• Dana M Brodin, OTR/L
• Steven Matthew Brooks, PT
• Francine Brown
• Sara Michelle Brown, LMHC,CAGS,MS

• Clinical Social Worker in Cranston, RI
• Providers in Cranston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.