Charesse Del Shawndra Branch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91474 Issued in CA

Practice address

3154 Darkwood St
Lancaster, CA 93536-4727

Phone

(661) 609-9147

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Charesse Del Shawndra Collins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1003520313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 DARKWOOD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364727",
            "telephone_number": "661-609-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 DARKWOOD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364727",
            "telephone_number": "661-609-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "CHARESSE",
        "middle_name": "DEL SHAWNDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARESSE",
            "last_name": "COLLINS",
            "middle_name": "DEL SHAWNDRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Martin Bradford, RRW
• Rachel Nicole Bradford, CLC/E
• Jessica Bradley, PPS
• Timicka R Bradley
• David Aaron Braidic, OTR/L
• Linda Brannan
• Nikki Len Brasket
• Brathai Inc.
• Isabella Bravo
• Bryanna Monique Breazell

• Clinical Social Worker in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.