Brenna Leigh Sanford, LMSW
Individual provider Active NPI Social Worker · Lorena, TX
NPI 1407599384 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1407599384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 105660 (TX)
- Practice address
- 124 Thompson Cir
Lorena, TX 76655-9682 - Phone
- (254) 749-8745
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 105660 | TX | Yes |
Addresses
Primary practice location
124 Thompson Cir
Lorena, TX 76655-9682
Mailing address
124 Thompson Cir
Lorena, TX 76655-9682
Phone (254) 749-8745
Other providers in Lorena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.