Individual provider Active NPI

Brenda Marie Bender, RN,LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1831267533
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
999815 Issued in CO
Practice address
1361 Francis St
Suite 300
Longmont, CO 80501-2576
Phone
(303) 817-7857
NPI assigned
Dec 1, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 999815 CO Primary
Registered Nurse 163W00000X 55529 CO

Addresses

Primary practice location

1361 Francis St
Suite 300
Longmont, CO 80501-2576

Mailing address

1361 Francis St
Suite 300
Longmont, CO 80501-2576
Phone (303) 817-7857

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
999815COMDClinical Social Worker
55529COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1831267533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS ST",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012576",
            "telephone_number": "303-817-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS ST",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012576",
            "telephone_number": "303-817-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "999815",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "55529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.