Active NPI
Brenda Lee Doremus-Daniel, L.C.S.W.
- Clinical Social Worker
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007265
- Practice address
- 1222 Jefferson Park Ave
Charlottesville, VA 22903-3410 - Phone
- (434) 924-1931
- Fax
- (434) 244-4451
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 0904007265 | VA | Primary |
Addresses
Primary practice location
1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
552 Hillsdale Dr
Charlottesville, VA 22901-5700
Phone (434) 977-9847
Other practice location 2
1215 Lee St
Charlottesville, VA 22908-3410
Phone (434) 924-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Jefferson St
Suite 101
Charlottesville, VA 22902-5180
Phone (434) 233-4536
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients |
Locations
1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400
1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Charlottesville, VA
- NPI 1043810062
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1649526393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 JEFFERSON PARK AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033410",
"telephone_number": "434-924-1931",
"fax_number": "434-244-4451"
}
],
"practiceLocations": [
{
"address_1": "552 Hillsdale Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229015700",
"country_code": "US",
"telephone_number": "434-977-9847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229083410",
"country_code": "US",
"telephone_number": "434-924-0211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOREMUS-DANIEL",
"first_name": "BRENDA",
"middle_name": "LEE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.