Individual provider Active NPI

Maureen G. Brennan, LCSW

  • Clinical Social Worker
  • Auburn, NY
National Provider Identifier
1699007385
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081143-1 Issued in NY
Practice address
146 North St
Auburn, NY 13021-1831
Phone
(315) 253-0341
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 073366 NY
Clinical Social Worker 1041C0700X 081143-1 NY Primary

Addresses

Primary practice location

146 North St
Auburn, NY 13021-1831

Mailing address

146 North St
Auburn, NY 13021-1831
Phone (315) 253-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20131023000009 NY Practitioner - Clinical Social Worker 0143455477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Cayuga CountyGroup PAC ID 6204747157, 19 clinicians

Practice addresses (Care Compare)

146 N St
Auburn, NY 13021-1831
Phone (315) 253-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073366NYMDSocial Worker
081143-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Cayuga County CurrentSince Sep 12, 2013 Accepting new patients
Cayuga County CurrentSince Sep 12, 2013 Accepting new patients

Locations

146 North St
Auburn, NY 13021
Phone (315) 253-0341

Interoperability endpoints

  • Direct secure messaging: maureenbrennan@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1699007385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211831",
            "telephone_number": "315-253-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211831",
            "telephone_number": "315-253-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MAUREEN",
        "middle_name": "G.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.