MRS. BRENDA B HANEY (MSW LISW LCDC III) – Addiction (Substance Use Disorder) Counselor, NPI 1871577791

MRS. BRENDA B HANEY (MSW LISW LCDC III) is a healthcare provider. based in Dayton, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LISW LCDC III. They hold a License No. 011369 (OH). The NPI Number for MRS. BRENDA B HANEY (MSW LISW LCDC III) is 1871577791

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRENDA B HANEY (MSW LISW LCDC III)
NPI
1871577791
Phone
(937) 648-4495
Address
1830 BURROUGHS DR
Enumeration Date
5 December 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404248001
Graduation Year
2001 (25 years ago)
PAC ID
9436117413
Group Practice PAC ID
5799136701
Professional Enrollment ID
I20041222000001
Address ID
OH439522662ST401XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for MRS. BRENDA B HANEY (MSW LISW LCDC III)

  • 1830, Burroughs Drive, Upper Dayton View, Dayton, Montgomery County, Ohio, 45406, United States

    DAYTON, OH 454064416

    Phone: (937) 648-4495

    Type: Mailing

  • 652, Superior Avenue, Central Avenue Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45402, United States

    DAYTON, OH 454026303

    Phone: (937) 228-7216

    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: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20041222000001IClinical Social WorkerOHTBD
I20260219000280IClinical Social WorkerAZTBD
I20260304000023IClinical Social WorkerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7016$0
90791Psychiatric diagnostic evaluation1211$0
View full utilization report →

Insurance plans in this area (ZIP 45406)

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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: 5799136701View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Clinical Social WorkerCT
Clinical Social WorkerSC
Mental Health CounselorMS
Mental Health CounselorMS
Mental Health CounselorWA
Mental Health CounselorOR
Clinical Social WorkerKY
Clinical Social WorkerHI
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Can I verify MRS. BRENDA B HANEY (MSW LISW LCDC III) with an NPI only?
You can start verification with NPI 1871577791 for MRS. BRENDA B HANEY (MSW LISW LCDC III), then check state licensing separately.
Does the file indicate MRS. BRENDA B HANEY (MSW LISW LCDC III) is practicing under active NPI?
Directory data currently reports MRS. BRENDA B HANEY (MSW LISW LCDC III) as active.
What is MRS. BRENDA B HANEY (MSW LISW LCDC III)'s primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for MRS. BRENDA B HANEY (MSW LISW LCDC III) here. Clinical services aligned with this taxonomy classification.
Does MRS. BRENDA B HANEY (MSW LISW LCDC III) list a practice location?
Patients near Dayton, Ohio may find MRS. BRENDA B HANEY (MSW LISW LCDC III) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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