Brenda Anita Stallings, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Jamaica, New York. Her current practice location is
8264 164th St, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 883-4205.
Brenda Anita Stallings is licensed to practice in New York (license number 074027) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144048778.
Healthcare Provider's Profile
Full Name | Brenda Anita Stallings |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144048778
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345777884
- Enrollment ID: I20241223002551
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
enrolled with medicare and thus, if eligible, can 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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