NPIMap

Individual provider Active NPI

Brandi Renfro, LGSW

  • Clinical Social Worker
  • Calera, AL
National Provider Identifier
1972025047
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2028G Issued in AL
Practice address
151 Hamilton LN
Calera, AL 35040-8700
Phone
(205) 668-4308
Fax
(205) 668-0894
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2028G AL Primary

Addresses

Primary practice location

151 Hamilton LN
Calera, AL 35040-8700

Mailing address

PO Box 689
Calera, AL 35040-0689
Phone (205) 668-4308

Other practice location 1

110 Medical Center Dr
Clanton, AL 35045-2332
Phone (205) 755-5933

Other practice location 2

2100 County Services Dr
Pelham, AL 35124-6150
Phone (205) 663-1252

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2028GALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Board of Chilton and Shelby Counties Inc Past Accepting new patients
Mental Health Board of Chilton and Shelby Counties Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972025047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400689",
            "telephone_number": "205-668-4308",
            "fax_number": "205-668-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HAMILTON LN",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350408700",
            "telephone_number": "205-668-4308",
            "fax_number": "205-668-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350452332",
            "country_code": "US",
            "telephone_number": "205-755-5933",
            "fax_number": "205-755-7060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 County Services Dr",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351246150",
            "country_code": "US",
            "telephone_number": "205-663-1252",
            "fax_number": "205-663-3175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "BRANDI",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2028G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.