Branch Acton, LICSW
Individual provider Active NPI Clinical Social Worker · Mountain BRK, AL
NPI 1992494041 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1992494041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5347C (AL)
- Practice address
- 3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418 - Phone
- (205) 919-1902
- Fax
- (205) 278-5304
- NPI assigned
- May 4, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- K and F Investments LLC
Practice addresses (Care Compare)
3918 Montclair Rd
Suite 206
Mountain BRK, AL 35213-2418
Phone (205) 994-2798
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108002531 | AL | Practitioner - Clinical Social Worker | 3173970407 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & F Investments LLC | Clinical | Current |
Accepting new patients |
| Eastside Mental Health Center Inc | Current |
Accepting new patients | |
| Eastside Mental Health Center | Past |
Accepting new patients |
Locations
129 E Park Cir
Birmingham, AL 35235
Phone (205) 836-7283
3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 994-2798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5347C | AL | Yes |
Addresses
Primary practice location
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Mailing address
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone (205) 919-1902
Other providers in Mountain BRK, AL
- Joel Douglas Abbott
- Austin Adams
- Barry L Adams
- Dawn Sizemore Adams
- June B Adams
- Advanced Dentistry LLC
All providers in Mountain BRK, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.