Brenda Anita Stallings, LCSW, CASAC is a
Social Worker - Clinical based in Jamaica, New York. Brenda Anita Stallings is licensed to practice in New York (license number 074027) and her current practice location is
8264 164th St, Jamaica, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 883-4205.
NPI number for Brenda Anita Stallings is 1144048778 and her current mailing address is 17240 133rd Ave Apt 1e, Jamaica, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144048778.
Healthcare Provider's Profile
| Full Name | Brenda Anita Stallings |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 8264 164th St, Jamaica, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144048778
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Brenda Anita Stallings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144048778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9331 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 074027 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Anita Stallings is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda Anita Stallings, LCSW, CASAC
17240 133rd Ave Apt 1e,
Jamaica, NY 11434-3925
Ph: (347) 869-7918 | Brenda Anita Stallings, LCSW, CASAC
8264 164th St,
Jamaica, NY 11432-1121
Ph: (718) 883-4205 |
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