Individual provider Active NPI

Brenda Joy Hollingsworth, LICSW

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1578880001
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60343993 Issued in WA
Practice address
8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone
(509) 539-3730
Fax
(833) 471-3350
NPI assigned
Apr 23, 2010
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 LW60343993 WA Primary

Addresses

Primary practice location

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678

Mailing address

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone (509) 539-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130806000553 WA Practitioner - Clinical Social Worker 0446491252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8350 W Grandridge Blvd
Suite 200
Kennewick, WA 99336-1678
Phone (509) 539-3730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Counseling LLC Clinical CurrentSince Jul 2, 2013 Accepting new patients

Locations

8350 W Grandridge Blvd
Ste 200
Kennewick, WA 99336
Phone (509) 528-9593

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1578880001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-539-3730",
            "fax_number": "833-471-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-539-3730",
            "fax_number": "833-471-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "BRENDA",
        "middle_name": "JOY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60343993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.