Daniel Nermo Brendible, LCSW, CDC1, BHC1

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

207741 Issued in AK

Practice address

563 Brendible Street
Metlakatla, AK 99926

Phone

(907) 886-7491

Fax

(907) 886-4357

NPI assigned

Jul 11, 2023

Sex

Male

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 TX

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metlakatla Indian CommunityGroup PAC ID 5890691315, 19 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.

• Metlakatla Indian Community

  dba Annette Islands Service Unit

  • Health Service Clinic/Center
  • Metlakatla, AK
  • NPI 1740294081

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1871271536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260726",
            "telephone_number": "907-617-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "99926",
            "telephone_number": "907-886-7491",
            "fax_number": "907-886-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDIBLE",
        "first_name": "DANIEL",
        "middle_name": "NERMO",
        "credential": "LCSW, CDC1, BHC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "207741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shallyn R Anderson
• Vanessa Renee Anniskett
• Betsy Yvonne Blandov
• Douglas Martin Booth
• Colleen Diane Brendible
• Sidney Charles Brendible
• Thomas Christopher Brendible III
• Trishta Leigh Brendible
• Alberta E Buxton
• Eldon A Buxton Jr.

• Clinical Social Worker in Metlakatla, AK
• Providers in Metlakatla, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.