Individual provider Active NPI

Debra Michel Brancato, L.C.S.W.

  • Clinical Social Worker
  • Lake Forest, CA
National Provider Identifier
1033372842
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14694 Issued in CA
Practice address
13 Orchard
Suite 103
Lake Forest, CA 92630-8320
Phone
(949) 837-3358
Fax
(949) 837-0274
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS14694 CA Primary

Addresses

Primary practice location

13 Orchard
Suite 103
Lake Forest, CA 92630-8320

Mailing address

13 Orchard
Suite 103
Lake Forest, CA 92630-8320
Phone (949) 837-3358

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

LicenseStateTypeSpecialty
LCS14694CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Lechuga, PH.D., a.P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1033372842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ORCHARD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308320",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ORCHARD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308320",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCATO",
        "first_name": "DEBRA",
        "middle_name": "MICHEL",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.