Marlene Terry Brent, LIC. CLINICAL SOCIAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5765 Issued in CA

Practice address

7551 Timberlake Way
Suite 240
Sacramento, CA 95823-5420

Phone

(916) 765-8923

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marlene Terry Suffet/Dunbridge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1619141371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 LATHAM DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647105",
            "telephone_number": "916-765-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY",
            "address_2": "SUITE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235420",
            "telephone_number": "916-765-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "MARLENE",
        "middle_name": "TERRY",
        "name_prefix": "Ms.",
        "credential": "LIC. CLINICAL SOCIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "SUFFET/DUNBRIDGE",
            "middle_name": "TERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Chris Dee Brenner
• Kylie Brennfleck
• Brent J. Varshawsky, D.M.D.
• Elliott Brent
• Ina L Brent
• Theodore WC Brenton, NP
• Ginna Paola Brents, SLP
• Charlotte Rose Bresci, RADT
• Alyssa Breslin, PT
• John Breslin Jr., M.S., LMFT

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.