Active NPI
Brenna L Panares, MSW LCSW
- Clinical Social Worker
- Frankfort, IL
National Provider Identifier
1669585626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-007831
- Practice address
- 20500 S la Grange Rd
Suite 200 S
Frankfort, IL 60423-1356 - Phone
- (815) 806-9300
- Fax
- (815) 806-3076
- NPI assigned
- Aug 16, 2006
- Last updated
- Mar 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 149-007831 | IL | Primary |
Addresses
Primary practice location
20500 S la Grange Rd
Suite 200 S
Frankfort, IL 60423-1356
Mailing address
20500 S la Grange Rd
Suite 200 S
Frankfort, IL 60423-1356
Phone (815) 806-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 17, 2023 through Mar 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-007831 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Solutions Counseling | Past | Accepting new patients | |
| Personal Solutions Counseling, PC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Frankfort, IL
- NPI 1992210322
-
dba Scott Costello
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frankfort, IL
- NPI 1538288402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1669585626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20500 S LA GRANGE RD",
"address_2": "SUITE 200 S",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231356",
"telephone_number": "815-806-9300",
"fax_number": "815-806-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20500 S LA GRANGE RD",
"address_2": "SUITE 200 S",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231356",
"telephone_number": "815-806-9300",
"fax_number": "815-806-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANARES",
"first_name": "BRENNA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-007831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.