Individual provider Active NPI

Brandy Casanova, MED, DBH

  • Social Worker
  • Laconia, NH
National Provider Identifier
1538808852
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
35 Academy St
Laconia, NH 03246-3606
Phone
(603) 556-4360
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 Primary

Addresses

Primary practice location

35 Academy St
Laconia, NH 03246-3606

Mailing address

6323 Monitor Dr
Indianapolis, IN 46220-4557
Phone (623) 521-0361

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Other names 1

  • Brandy Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laconia Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331003507 IN Practitioner - Clinical Social Worker 1355826082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Counseling Associates PLLC Social Worker CurrentSince Jun 5, 2022 Accepting new patients

Locations

35 Academy St
Laconia, NH 03246
Phone (603) 387-1230

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1538808852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 MONITOR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204557",
            "telephone_number": "623-521-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ACADEMY ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463606",
            "telephone_number": "603-556-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "MED, DBH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laconia",
            "affiliation": "N",
            "endpointDescription": "New Hampshire",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Academy St",
            "city": "Laconia",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032463606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.