LESA BRENNER (LMSW) – Social Worker, NPI 1871051698

LESA BRENNER (LMSW) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801106485 (MI). The NPI Number for LESA BRENNER (LMSW) is 1871051698

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
LESA BRENNER (LMSW)
NPI
1871051698
Phone
(517) 420-0394
Address
3054 S 9TH ST STE B
Enumeration Date
11 March 2019
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692163337
Graduation Year
2012 (14 years ago)
PAC ID
6406273465
Group Practice PAC ID
9335526979
Professional Enrollment ID
I20200904001671
Address ID
MI490082516KA3317XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for LESA BRENNER (LMSW)

  • South 9th Street, Buckham Highlands, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490096250

    Phone: (517) 420-0394

    Type: Mailing

  • 423 MONTROSE AVE

    KALAMAZOO, MI 490014225

    Phone: (517) 420-0394

    Type: Mailing

  • 3317 GREENLEAF BLVD

    KALAMAZOO, MI 490082516

    Phone: (517) 420-0394

    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: 2020-09-04

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
I20200904001671IClinical Social WorkerMITBD

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 49009)

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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: 9335526979View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What unique ID ties claims to LESA BRENNER (LMSW)?
NPI 1871051698 is assigned to LESA BRENNER (LMSW) under the national enumeration system.
Is LESA BRENNER (LMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LESA BRENNER (LMSW) list a primary specialty?
If you are matching referrals, note Social Worker for LESA BRENNER (LMSW). Clinical services aligned with this taxonomy classification.
Does LESA BRENNER (LMSW) practice in Michigan?
You will see Kalamazoo, Michigan on file for LESA BRENNER (LMSW) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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