Active NPI
Emily Melissa Brodie Remba, LCSW
- Clinical Social Worker
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68029
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reproductive Mental Health and Wellness Licensed Clinical Social Worke | Clinical | Current | 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.
-
- Clinical Social Worker
- San Diego, CA
- NPI 1497300693
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.