Jeffrey Brentley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078543 Issued in NY

Practice address

205 S Whiting St Ste 312
Alexandria, VA 22304-3632

Phone

(703) 249-5160

NPI assigned

May 17, 2007

Last updated

May 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Finding Clarity

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1174060628
  NPD Authorized official
• Wellness Therapy Services LCSW, PLLC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1215405287
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1598972333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223131933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WHITING ST STE 312",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043632",
            "telephone_number": "703-249-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTLEY",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Breed
• Bren-X Auditory Solutions LLC
• Christine R Brendle, PH.D.
• Irina Fox Brennan, MD, PHD
• Lauretta Brennan, PH.D.
• Corinne Breskovich
• Erika Kappes Bressette, DO
• Courtney Breven
• Daniela Brevis, LPC
• Jill Marion Brewer, RDH

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.