Brenda Bambino Knierim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006712 Issued in NC

Practice address

233A Merchants Cir Ste 100
Hampstead, NC 28443-5419

Phone

(910) 297-7720

Fax

(883) 643-0176

NPI assigned

Mar 11, 2010

Last updated

Mar 23, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Care Clinic, P.a.

  • Clinic/Center
  • Jacksonville, NC
  • NPI 1316033590
  NPD (past)
• Magnolia Wellness Group, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Wilmington, NC
  • NPI 1982175469
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1679896120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CIRCLE DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432108",
            "telephone_number": "910-297-7720",
            "fax_number": "833-643-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233A MERCHANTS CIR STE 100",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284435419",
            "telephone_number": "910-297-7720",
            "fax_number": "883-643-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIERIM",
        "first_name": "BRENDA",
        "middle_name": "BAMBINO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SOCIAL WORK LICENSURE BOARD",
            "identifier": "C006712",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• King Car Service
• Margaret King, MS, CNS, LDN
• Tyler King
• McKenzie Klein, OTR/L
• Amanda Knauff, PT
• Arness Margaret Krause, MA, MSW, LCSWA
• Mary Kathryn Turturro Kruszewski, CPNP-PC
• Nicole Claire Kusmierz, FNP-C
• Jenean Lacorte
• Karen Heide Lambert, PT, NCS

• Clinical Social Worker in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.