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MS. BRENDA S HARTMAN-SOUDER LCSW
NPI 1376889493
Social Worker - Clinical in Syracuse, NY

Active since December 18, 2012Opted out of Medicare · through Nov 9, 2027
526 OAK ST., SYRACUSE, NY 13203(315) 870-0154 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Brenda S Hartman-souder Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BRENDA S HARTMAN-SOUDER LCSW (NPI 1376889493) is an individual clinical provider in Syracuse, New York, licensed in New York (R042111-1) and active in the NPI registry since December 2012. She has opted out of Medicare through November 9, 2027.

NPPES Registry Identity

NPI1376889493
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BRENDA S HARTMAN-SOUDERCredential: LCSW
Location Address526 OAK ST.Syracuse, NY 13203
Mailing Address526 Oak StSyracuse, NY 13203-1649 · (315) 870-0154
Phone(315) 870-0154
Sole ProprietorYes
Enumeration DateDecember 18, 2012
Last NPPES UpdateMarch 8, 2013
✔ NPI 1376889493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R042111-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
526 OAK ST., Syracuse, NY 13203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Brenda S Hartman-souder Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2021 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2021
Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Hartman-souder's NPI number?

The NPI number for Brenda Hartman-souder is 1376889493. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Where is Brenda Hartman-souder located?

Brenda Hartman-souder practices at 526 Oak St., Syracuse, NY 13203. The listed phone number is (315) 870-0154.

What is Brenda Hartman-souder's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brenda Hartman-souder enrolled in Medicare?

No. Brenda Hartman-souder has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brenda Hartman-souder was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.