Individual ProviderBrinlee BenardSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E Ste 100, Murray, UT 84121-1850(801) 872-5516PECOS EnrollmentBased on the most recent information from CMS, provider Brinlee Benard is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831645605Provider TypeIndividualFull NameBenard, BrinleeCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/31/2016Last Updated8/28/2023Contact InformationPractice LocationPractice Address5965 S 900 E Ste 100, Murray, UT 84121-1850Phone(801) 872-5516Fax(801) 212-9942Mailing LocationMailing Address5965 S 900 E Ste 100, Murray, UT 84121-1850Phone(801) 872-5516Fax(801) 212-9942Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense10457476-3501UtahCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer