Individual provider Active NPI

Brenna Patricia Vermilyea, LMSW

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1528670064
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097311 Issued in NY
Practice address
786 Columbus Pkwy Apt 5
Buffalo, NY 14213-2456
Phone
(518) 258-2314
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097311 NY Primary

Addresses

Primary practice location

786 Columbus Pkwy Apt 5
Buffalo, NY 14213-2456

Mailing address

786 Columbus Pkwy Apt 5
Buffalo, NY 14213-2456
Phone (518) 258-2314

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
091075NYMDSocial Worker
097311NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Miller NP in Psychiatry PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1528670064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 COLUMBUS PKWY APT 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132456",
            "telephone_number": "518-258-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 COLUMBUS PKWY APT 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132456",
            "telephone_number": "518-258-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILYEA",
        "first_name": "BRENNA",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.