Brenna Rae Love, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12206 Issued in MT

Practice address

415 N Higgins Ave Ste 111a
Missoula, MT 59802-4561

Phone

(406) 493-5423

NPI assigned

Feb 16, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Buffalo Heart Healing

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1518438415
  NPD Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1558800011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE STE 111A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024561",
            "telephone_number": "406-493-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE STE 111A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024561",
            "telephone_number": "406-493-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "BRENNA RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "12206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura C. Lopach, PH.D.,
• Rachel Sales Lopez, LAC, LCSW
• Nichole Loran, CNM
• Marco Antonio Lorio, M.D
• Carmen Foy Lousen, LCPC AND LAC
• Kathy Love, M.A.
• Elijah Lovegren
• Lisa B Lovejoy, MD
• Thomas Lowder, MD
• Cynthia M. Lowe, R.N.

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.