Brenda McConnell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2020 Iowa Ave Ste 101
Riverside, CA 92507-7428

Phone

(951) 580-1026

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Victor Community Support Services, Inc

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1487490397
  NPD
• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Perris, CA
  • NPI 1629240270
  NPD (past)

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1750117503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 IOWA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077428",
            "telephone_number": "951-580-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 IOWA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077428",
            "telephone_number": "951-580-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angie Elena McClenahan, MSW
• Keianna Cheyanne McClendon
• Alicia McCleod, LMFT
• Mary Catherine McClure
• Deanne McCollum, M.A.
• Darla Jean McCool, LVN
• Sarah McCorkle
• Lauren McCormick
• Esther Cuevas McCoy, L.C.S.W.
• Kerry McCoy, LMFT

• Case Manager/Care Coordinator in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.