Kama Brockmann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20752 Issued in CA

Practice address

2565 14TH St
Sacramento, CA 95818-2242

Phone

(916) 752-8850

NPI assigned

Jul 6, 2020

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

Electronic endpoints 1

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1033737192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 14TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182242",
            "telephone_number": "916-752-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 14TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182242",
            "telephone_number": "916-752-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMANN",
        "first_name": "KAMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamab@me.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2565 14th St",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958182242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramona Brock
• Shannon Lee Brock
• Erin Elizabeth Brockett
• Vara Brockett
• Brittini Brockman
• James William Brode, M.D.
• Regina Ruth Brodell
• David M Broderick, M.D.
• Maddison Morian Brodeur
• Allie Brodhead

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 Jul 6, 2020; 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.