Individual provider Active NPI

Betty Bilgray Brenner, MSW

  • Clinical Social Worker
  • Livingston, NJ
National Provider Identifier
1952452880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00082100 Issued in NJ
Practice address
61 E Sherbrooke Pkwy
Livingston, NJ 07039-3133
Phone
(973) 994-3467
Fax
(973) 994-3467
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00082100 NJ Primary

Addresses

Primary practice location

61 E Sherbrooke Pkwy
Livingston, NJ 07039-3133

Mailing address

61 E Sherbrooke Pkwy
Livingston, NJ 07039-3133
Phone (973) 994-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050412000451 NJ Practitioner - Clinical Social Worker 2466499488 Practice locations: Livingston, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61 E Sherbrooke Pkwy
Livingston, NJ 07039-3133
Phone (973) 994-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952452880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E SHERBROOKE PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393133",
            "telephone_number": "973-994-3467",
            "fax_number": "973-994-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E SHERBROOKE PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393133",
            "telephone_number": "973-994-3467",
            "fax_number": "973-994-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "BETTY",
        "middle_name": "BILGRAY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00082100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.