Brenna G Camp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51310 Issued in TX

Practice address

702 Hickory St Ste C
Abilene, TX 79601-5038

Phone

(325) 232-5860

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Recourage Counseling, LLC

  • Clinical Social Worker
  • Abilene, TX
  • NPI 1427565621
  Medicare reassignment NPD Authorized official
• Christian Psychological Center, Inc.

  • Psychologist
  • Memphis, TN
  • NPI 1184625006

  Clinical

  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982605960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 CEDAR CREST DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013725",
            "telephone_number": "325-232-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HICKORY ST STE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015038",
            "telephone_number": "325-232-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3602 Rolling Green Dr",
            "address_2": "Apt 814",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796062698",
            "country_code": "US",
            "telephone_number": "901-287-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "BRENNA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000004613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stormi Call, PA
• Tabitha Callaway, FNP-C, RN
• Raul Niduaza Calvo Jr., M.D.
• Jeremiah Camacho
• Bridget Camarillo, LPC
• Lashondria Renee Camp, M.D.
• Holly Sue Campbell, COTA
• Lori Michelle Campbell, PHARMD
• Jaci Rae Campo, DDS
• Crystal Canada, SLP

• Clinical Social Worker in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Social Worker in Texas

• 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.
• 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.