Individual provider Active NPI

Emily Melissa Brodie Remba, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1043503410
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68029 Issued in CA
Practice address
11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Phone
(858) 380-2600
Fax
(858) 367-6160
NPI assigned
May 18, 2011
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 68029 CA Primary

Addresses

Primary practice location

11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644

Mailing address

11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Phone (858) 380-2600

Other practice location 1

11838 Bernardo Plaza Ct
Suite 250
San Diego, CA 92128-2413
Phone (858) 367-3622

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Mental Health and Wellness Licensed Clinical Social Worke Clinical CurrentSince Feb 23, 2020 Accepting new patients

Locations

11440 W Bernardo Ct
Ste 300
San Diego, CA 92127
Phone (760) 884-4729

11838 Bernardo Plaza Ct
Ste 250
San Diego, CA 92128
Phone (858) 367-3622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1043503410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271644",
            "telephone_number": "858-380-2600",
            "fax_number": "858-367-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271644",
            "telephone_number": "858-380-2600",
            "fax_number": "858-367-6160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11838 Bernardo Plaza Ct",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282413",
            "country_code": "US",
            "telephone_number": "858-367-3622",
            "fax_number": "858-521-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMBA",
        "first_name": "EMILY",
        "middle_name": "MELISSA BRODIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.