Active NPI
Brandy Bennick, LICSW
- Clinical Social Worker
- Rutland, VT
National Provider Identifier
1609426162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0126825
- Practice address
- 1 Woodland Dr
Rutland, VT 05701-4629 - Phone
- (802) 770-4370
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0126825 | VT | Primary |
Addresses
Primary practice location
1 Woodland Dr
Rutland, VT 05701-4629
Mailing address
1 Woodland Dr
Rutland, VT 05701-4629
Phone (802) 770-4370
Other practice location 1
215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386
Other practice location 2
1 Woodland Dr
Rutland, VT 05701-4629
Phone (802) 770-4370
Other practice location 3
420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305
Other practice location 4
71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (802) 772-7992
Other practice location 5
8 Freeman Ave
Rutland, VT 05701-4608
Phone (802) 770-4370
Other practice location 6
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 773-3386
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1609426162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WOODLAND DR",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014629",
"telephone_number": "802-770-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODLAND DR",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014629",
"telephone_number": "802-770-4370"
}
],
"practiceLocations": [
{
"address_1": "215 Stratton Rd",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014621",
"country_code": "US",
"telephone_number": "802-773-3386",
"fax_number": "802-773-4578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Woodland Dr",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014629",
"country_code": "US",
"telephone_number": "802-770-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Grove St",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "VT",
"postal_code": "057339062",
"country_code": "US",
"telephone_number": "802-247-6305",
"fax_number": "802-247-6040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71 Allen St Ste 403",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014570",
"country_code": "US",
"telephone_number": "802-772-7992",
"fax_number": "802-855-8632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Freeman Ave",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014608",
"country_code": "US",
"telephone_number": "802-770-4370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Route 30 N",
"address_purpose": "LOCATION",
"city": "Bomoseen",
"state": "VT",
"postal_code": "057329647",
"country_code": "US",
"telephone_number": "802-773-3386",
"fax_number": "802-773-4578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNICK",
"first_name": "BRANDY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0126825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.