Individual provider Active NPI

Brenda C Kriegel, LCSW

  • Clinical Social Worker
  • Rehoboth Beach, DE
National Provider Identifier
1528117819
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC300064 Issued in DC
Practice address
120 Cornwall Rd
Rehoboth Beach, DE 19971-1424
Phone
(703) 598-9886
Fax
(302) 227-2832
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC300064 DC Primary

Addresses

Primary practice location

120 Cornwall Rd
Rehoboth Beach, DE 19971-1424

Mailing address

120 Cornwall Rd
Rehoboth Beach, DE 19971-1424
Phone (703) 598-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC300064DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1528117819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CORNWALL RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711424",
            "telephone_number": "703-598-9886",
            "fax_number": "302-227-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CORNWALL RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711424",
            "telephone_number": "703-598-9886",
            "fax_number": "302-227-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGEL",
        "first_name": "BRENDA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.