Brynne Kazlo Fretwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009972 Issued in VA

Practice address

463 E Washington St
Harrisonburg, VA 22802

Phone

(540) 433-3100

Fax

(540) 434-0132

NPI assigned

Jun 21, 2017

Last updated

May 8, 2020By 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

Other names 1

• Brynne Walker Kazlo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 15, 2024 through Apr 15, 2028

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.

• Harrisonburg Rockingham Community Services Board

  • Early Intervention Provider Agency
  • Harrisonburg, VA
  • NPI 1881886133
  NPD (past)
• Shenandoah Psychological Services, LLC

  • Clinical Psychologist
  • Harrisonburg, VA
  • NPI 1851717078
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1457871543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024632",
            "telephone_number": "540-434-1941",
            "fax_number": "540-434-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 E WASHINGTON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22802",
            "telephone_number": "540-433-3100",
            "fax_number": "540-434-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETWELL",
        "first_name": "BRYNNE",
        "middle_name": "KAZLO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNNE",
            "last_name": "KAZLO",
            "middle_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Steller MD., LLC
• Berry Franko
• Shauna Frantz, LPC
• Clarissa Frederick
• Sarah Leslie Reid Frederick, FNP-C
• Friendly City Psychology, PLLC
• Tyler Frink
• Cara H Frongia
• Jamie Frye
• Karl Fua, PH.D.

• Clinical Social Worker in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.