Individual provider Active NPI

Brenda J. Hulphers, LCSW

  • Clinical Social Worker
  • Gardnerville, NV
National Provider Identifier
1508112145
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7738-C Issued in NV
Practice address
State of Nevada Rural Clinics Douglas
1528 Hwy 395 Ste 100
Gardnerville, NV 89410-5226
Phone
(775) 782-3671
Fax
(775) 782-6639
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5676866-3501 UT
Clinical Social Worker 1041C0700X 5676866-3501 UT
Clinical Social Worker 1041C0700X 7738-C NV Primary

Addresses

Primary practice location

State of Nevada Rural Clinics Douglas
1528 Hwy 395 Ste 100
Gardnerville, NV 89410-5226

Mailing address

727 Fairview Dr Ste a
Carson City, NV 89701
Phone (775) 684-5000

Other identifiers 1

IdentifierTypeStateIssuer
1508112145MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5676866-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients
Family Counseling Service of Northern Utah Inc Past Accepting new patients
Family Counseling Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1508112145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 FAIRVIEW DR STE A",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89701",
            "telephone_number": "775-684-5000",
            "fax_number": "775-687-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE OF NEVADA RURAL CLINICS DOUGLAS",
            "address_2": "1528 HWY 395 STE 100",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105226",
            "telephone_number": "775-782-3671",
            "fax_number": "775-782-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULPHERS",
        "first_name": "BRENDA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "5676866-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5676866-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7738-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508112145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.