Brenda Christie, MSW. LISCW
Individual provider
Active NPI
Clinical Social Worker · Morrisville, VT
NPI 1992882971 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1992882971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000969 (VT)
- Practice address
- 65 Northgate Plaza
Suite 11
Morrisville, VT 05661-5900
- Phone
- (802) 888-8320
- Fax
- (802) 888-8136
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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.
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20040202000134 |
VT |
Practitioner - Clinical Social Worker |
3971406331 |
Practice locations: Morrisville, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 089-0000969 | VT | MD | Clinical Social Worker |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Clinical Social Worker |
1041C0700X |
089-0000969 |
VT |
Yes |
Addresses
Primary practice location
65 Northgate Plaza
Suite 11
Morrisville, VT 05661-5900
Mailing address
PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8603
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 109774 | Medicaid | VT | |
| 2182082 | Other | VT | CIGNA |
| 00059456 | Other | VT | BCBS |
| 410045 | Other | VT | MVP |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.