Brenda Sue Sanford, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0005014 Issued in OH

Practice address

221 Fountain PL
Bellefontaine, OH 43311-2205

Phone

(937) 593-9600

Fax

(937) 592-7705

NPI assigned

Jan 10, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

First Christian ChurchGroup PAC ID 7911098082, 3 clinicians

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 and National Provider Directory roles.

• First Christian Church

  • Voluntary or Charitable Agency
  • Bellefontaine, OH
  • NPI 1649315912
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811047392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 FOUNTAIN PL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112205",
            "telephone_number": "937-593-9600",
            "fax_number": "937-592-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 FOUNTAIN PL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112205",
            "telephone_number": "937-593-9600",
            "fax_number": "937-592-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0005014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RTC Industries, Inc.
• Ellie Russell
• Angela L Rutan, CNP
• Jihad Saliba, DDS
• Sidney Paige Sallee
• Ferdinand Joseph Santos, MD
• Sarah E. Ash. DDS. LLC
• Kaitlyn Elizabeth Saunders, RPH.
• Hillary Schau
• Matthew W Schilling, DO

• Clinical Social Worker in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.