Victoria Grace Brennan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115813 Issued in IA

Practice address

509 Kirkwood Ave
Iowa City, IA 52240-4728

Phone

(319) 519-2147

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By 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

Medicare fee-for-service enrollment

Enrolled in IA

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Counseling Center for Individual & Family Development LLP

  • Marriage & Family Therapist
  • Iowa City, IA
  • NPI 1174700835
  Medicare reassignment
• Wise Mind Iowa, LLC

  • Psychiatry Physician
  • Iowa City, IA
  • NPI 1750023222

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1689391534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 KIRKWOOD AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404728",
            "telephone_number": "319-519-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 KIRKWOOD AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404728",
            "telephone_number": "319-519-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "VICTORIA",
        "middle_name": "GRACE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "115813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip J Brenchley, M.D.
• Sarah Ann Brendalen, DO
• Kelly Brennan, MPAS, PA-C
• Theresa Marie Brennan, MD
• Timothy J Brennan, MD
• Anthony E Brenneman, PA-C
• Cynthia Fern Brenneman, LPT
• Christiana Brenner, MD
• Marielle Alyssa Brenner, MD
• Bridget Casey Brenton, LISW

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.