Individual provider Active NPI

Brandi L Bentrim, MA LCSW

  • Clinical Social Worker
  • Sewickley, PA
National Provider Identifier
1720158231
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015312 Issued in PA
Practice address
2109 Sturbridge CT
Sewickley, PA 15143-8875
Phone
(215) 317-3781
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015312 PA Primary

Addresses

Primary practice location

2109 Sturbridge CT
Sewickley, PA 15143-8875

Mailing address

2109 Sturbridge CT
Sewickley, PA 15143-8875
Phone (215) 317-3781

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brandi.awaketherapy@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CW015312PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1720158231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 STURBRIDGE CT",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438875",
            "telephone_number": "215-317-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 STURBRIDGE CT",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438875",
            "telephone_number": "215-317-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTRIM",
        "first_name": "BRANDI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-12-16",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brandi.awaketherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2109 Sturbridge Ct",
            "city": "Sewickley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151438875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.