Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Brenda Marie Ennis, MSW, DCSW

Individual provider Clinical Social Worker · NPI 1386972446

MS. Brenda Marie Ennis, MSW, DCSW is a Clinical Social Worker in Petoskey, Michigan. Qualified in 1998, 28 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2009
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2202 Mitchell Park Dr Ste 2B
Petoskey, MI 49770-8897
Phone: (231) 487-1750
Fax: (231) 487-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801085534 (MI)

Record details

NPI number1386972446
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , DCSW
Sole proprietorYes
NPI enumeratedDecember 1, 2009
Last updated in NPPESOctober 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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