Mr Jeremiah Shawn Brennan, MS, LCSW, CSAC is a
Social Worker - Clinical based in Wahiawa, Hawaii. Mr Jeremiah Shawn Brennan is licensed to practice in Hawaii (license number 4170) and his current practice location is
302 California Ave, Suite 212, Wahiawa, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 688-8020.
NPI number for Mr Jeremiah Shawn Brennan is 1891193397 and his current mailing address is Po Box 37041, Honolulu, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891193397.
Healthcare Provider's Profile
| Full Name | Mr Jeremiah Shawn Brennan |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 302 California Ave, Wahiawa, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891193397
- Provider Enumeration Date: 12/15/2014
- Last Update Date: 09/29/2023
Medical Identifiers
Medical identifiers for Mr Jeremiah Shawn Brennan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891193397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1785-13 (Hawaii) | Secondary |
| 104100000X | Social Worker | 2171 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4170 (Hawaii) | 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. Mr Jeremiah Shawn Brennan 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 |
|---|
Mr Jeremiah Shawn Brennan, MS, LCSW, CSAC
Po Box 37041,
Honolulu, HI 96837-0041
Ph: (808) 688-8020 | Mr Jeremiah Shawn Brennan, MS, LCSW, CSAC
302 California Ave, Suite 212,
Wahiawa, HI 96786-1841
Ph: (808) 688-8020 |
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