Brenda Medina, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02428 Issued in RI

Practice address

193 Canal St
Westerly, RI 02891-1556

Phone

(401) 500-5458

Fax

(401) 596-2496

NPI assigned

May 13, 2014

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

Enrolled in RI

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Take Care Counseling

  • Clinical Social Worker
  • Westerly, RI
  • NPI 1114436847
  NPD Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1407267503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 CANAL ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911556",
            "telephone_number": "401-500-5458",
            "fax_number": "401-596-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 CANAL ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911556",
            "telephone_number": "401-500-5458",
            "fax_number": "401-596-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BRENDA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McQuade's Marketplace Pharmacy
• McQuades Market Place Pharmacy Inc (Mcquade Market Place Pharmacy)
• Med-Script LLC
• Helen D Medeiros, RPH
• James Medeiros, PHARMD
• Kayleigh E Melroy, DPT
• Jennifer Lee Menard, COTA
• Suzan J Menihan, CNM
• Arthur Migliazza, PT, DPT
• Andrew Mikkelsen, DPT

• Clinical Social Worker in Westerly, RI
• Providers in Westerly, 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 Jun 26, 2015; 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.