Jeanie Devito Brenneman

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5007 Mid Atlantic Dr
Morgantown, WV 26508-4298

Phone

(304) 296-9898

Fax

(304) 292-5210

NPI assigned

May 17, 2023

Last updated

May 17, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospitalist Medicine Physicians of West Virginia, PLLC

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1649575101
  NPD (past)
• Tender Loving Care Health Care Services of West Virginia, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Morgantown, WV
  • NPI 1215976592
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1497446843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 MID ATLANTIC DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084298",
            "telephone_number": "304-296-9898",
            "fax_number": "304-292-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 MID ATLANTIC DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084298",
            "telephone_number": "304-296-9898",
            "fax_number": "304-292-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "JEANIE",
        "middle_name": "DEVITO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Bredhold, PHARMD
• Virginia Mae Breedlove
• Connor Breinholt, MD
• Lori Rae Brennan
• Steve Brennan
• Patrick M Brennen, M.S.W., L. C. S. W.
• Amy Moyers Brenwalt, MD
• Eli Bresock, PROCIIONL LPC
• Laura Ann Brewer, PHARMD
• Jennifer Marie Brezny, PA-C

• Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.