Brendan Odonnel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801112466 Issued in MI

Practice address

1844 Oak Hollow Dr Ste B
Traverse City, MI 49686-5924

Phone

(231) 714-0282

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

Yes

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 MI

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Navigation Therapy PLLC

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1518676030
  Medicare reassignment NPD Authorized official
• Nicole Ball Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Traverse City, MI
  • NPI 1588217251
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1942862123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 W TRUMBULL RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496649642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 OAK HOLLOW DR STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865924",
            "telephone_number": "231-714-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNEL",
        "first_name": "BRENDAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Chiagoziem Obi
• Anthony Brian Ochoa, MD
• Deborah Jo Ochs, M.D.
• Kristen Jo Ockert, M.S., P.T.
• Cynthia Oconnel
• Kean T Oh, M.D.
• Kevin James Ohara, LBSW
• Stephen Henry Oklat, PHYSICIAN ASSISTANT
• Old Mission Advanced Care, PLLC
• Old Mission Medicine Wound Care New York PLLC

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.