ELIZABETH BRENDEN (LICSW) – Clinical Social Worker, NPI 1003938267

ELIZABETH BRENDEN (LICSW) is a healthcare provider. based in Somerville, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 213576 (MA). The NPI Number for ELIZABETH BRENDEN (LICSW) is 1003938267

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BRENDEN (LICSW)
NPI
1003938267
Phone
(617) 623-5487
Address
63 College Ave
Enumeration Date
6 April 2007
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6038830005
Graduation Year
2005 (21 years ago)
PAC ID
6709031545
Group Practice PAC ID
3274523758
Professional Enrollment ID
I20170419001832
Address ID
NH030794851SA25XXXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for ELIZABETH BRENDEN (LICSW)

  • 63 College Ave

    Somerville, MA 021441957

    Phone: (617) 623-5487

    Type: Location

  • 4800 N SCOTTSDALE RD STE 2500

    SCOTTSDALE, AZ 852517630

    Phone:

    Type: Mailing

  • 25 PELHAM RD STE 203

    SALEM, NH 030794851

    Phone: (603) 883-0005

    Type: Location

  • 58 RIVER ST

    ARLINGTON, MA 024743541

    Phone: (617) 623-5487

    Type: Mailing

  • 63 COLLEGE AVE

    SOMERVILLE, MA 021441957

    Phone: (617) 623-5487

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170419001832IClinical Social WorkerNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02144)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274523758View full group profile
NameSpecialtyState
Clinical PsychologistNH
Clinical PsychologistMA
-NH
Nurse PractitionerME
-NH
Clinical Social WorkerME
Clinical Social WorkerME
Clinical Social WorkerNH
Clinical Social WorkerME
P S Y C H I A T R YNH

Reviews

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Frequently asked questions

What federal number belongs to ELIZABETH BRENDEN (LICSW)?
The federal identifier for ELIZABETH BRENDEN (LICSW) is NPI 1003938267.
Is ELIZABETH BRENDEN (LICSW)'s NPI currently valid?
The extract we use shows ELIZABETH BRENDEN (LICSW) as active.
Does ELIZABETH BRENDEN (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for ELIZABETH BRENDEN (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH BRENDEN (LICSW)?
We surface Somerville, Massachusetts for ELIZABETH BRENDEN (LICSW) based on available NPPES addresses.
How can I contact ELIZABETH BRENDEN (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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