Active NPI
Branden Conan Renfro, ASW, LSW
- Clinical Social Worker
- Menlo Park, CA
National Provider Identifier
1023822582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110750
- Practice address
- 795 Willow Rd BLDG 347
Menlo Park, CA 94025-2539 - Phone
- (650) 460-9641
- NPI assigned
- Feb 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110750 | CA | Primary |
Addresses
Primary practice location
795 Willow Rd BLDG 347
Menlo Park, CA 94025-2539
Mailing address
795 Willow Rd BLDG 347
Menlo Park, CA 94025-2539
Phone (650) 460-9641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110750 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1023822582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 WILLOW RD BLDG 347",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252539",
"telephone_number": "650-460-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WILLOW RD BLDG 347",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252539",
"telephone_number": "650-460-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "BRANDEN",
"middle_name": "CONAN",
"credential": "ASW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-05",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
- Reena's Homecare for Seniors LLC
- Shannon Reese, PSYD
- Diane Scholz Regonini, SLP
- Navdeesh Kaur Sidhu Reiners, MD
- Reitman Physical Therapy
- Resilience Medical PC
- Reverent Partnership Counseling, a Licensed Clinical Social Worker Cor
- Revitalize Integrated Body Systems
- Tiffany Reyes
- Harrison Reynolds, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.