Kelly Brenner
Social Worker, Clinical in Stamford, Connecticut
1417653056- Practice location
- 2015 W Main St, Stamford, CT 06902-4536
- Phone
- 203-863-4673
- Fax
- —
- Last updated
- November 14, 2025
Kelly Brenner is a Social Worker, Clinical based in Stamford, CT. Kelly Brenner practices in Stamford, CT. The NPI Number for Kelly Brenner is 1417653056 and holds a License No. 226404 (MA). The current practice location address for Kelly Brenner is 2015 W Main St, Stamford, CT 06902-4536 and can be reached out via phone at 203-863-4673.
Provider Profile Details
- NPI Number
- 1417653056
- Provider Name
- Kelly Brenner
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2015 W Main St, Stamford, CT 06902-4536
- Phone Number
- 203-863-4673
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 6, 2023
- Last Update Date
- November 14, 2025
- Certification Date
- November 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2015 W Main St
Stamford, CT 06902-4536 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-4536
- Phone Number
- 203-863-4673
Provider Business Mailing Address Details
- Address
- 150 Broad St Apt 616
Stamford, CT 06901-2058 - City
- Stamford
- State
- CT
- Zip
- 06901-2058
License Information
- License Number (1)
- 226404
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 15181
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly Brenner?
The NPI number of Kelly Brenner is 1417653056. It was assigned on February 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Kelly Brenner?
Kelly Brenner is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 226404.
Where does Kelly Brenner practice?
The practice location is 2015 W Main St, Stamford, CT 06902-4536. The office can be reached at 203-863-4673 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417653056 directly on the NPPES registry website.