Matthew Brennan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10138 Issued in CT

Practice address

1844 Whitney Ave
Hamden, CT 06517-1400

Phone

(475) 441-4327

NPI assigned

Jun 28, 2016

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inner Growth Counseling LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1942901483
  NPD Authorized official

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1497106702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BROADFIELD RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171543",
            "telephone_number": "413-244-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171400",
            "telephone_number": "475-441-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER'S LEVEL SOCIAL WORKER LICENSE",
            "identifier": "3377",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Bradstreet, MSW LCSW
• Cynthia Brandl, RN
• Laurel Habink Brandon, APRN
• Diana L Brassell, DPT
• Tamar Ranon Braverman, MD
• Michelle Brennan, RPT
• Karyn Sue Brents, DC
• Maria H Brereton, LCSW
• Brett Gerstenhaber MD LLC
• Samuel Leon Bridgers, M.D.

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.