George B Brenner, LCSW is a
Social Worker - Clinical based in Indianapolis, Indiana. George B Brenner is licensed to practice in Indiana (license number 34002846A) and his current practice location is
5470 E 16th Street, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 355-5009.
NPI number for George B Brenner is 1689639189 and his current mailing address is 6626 E 75th St, Suite 500, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689639189.
Healthcare Provider's Profile
| Full Name | George B Brenner |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5470 E 16th Street, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689639189
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 10/22/2021
Medical Identifiers
Medical identifiers for George B Brenner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689639189 | NPI | - | NPPES |
| 100270530A | Medicaid | IN | |
| 000000386704 | Other | IN | ANTHEM-GALLAHUE MENTAL HEALTH SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 35000397A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34002846A (Indiana) | 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. George B Brenner 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 |
George B Brenner, LCSW 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | George B Brenner, LCSW 5470 E 16th Street, Indianapolis, IN 46218-4861 Ph: (317) 355-5009 |
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