Amy Rebecca Brandt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19136 Issued in MN

Practice address

2324 University Ave W Ste 120
Saint Paul, MN 55114

Phone

(651) 644-4100

Fax

(651) 644-4885

NPI assigned

Dec 15, 2010

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1063715977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY AVE W STE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141854",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY AVE W STE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564012902",
            "country_code": "US",
            "telephone_number": "218-829-3235 x211",
            "fax_number": "218-829-1368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564012902",
            "country_code": "US",
            "telephone_number": "218-829-3235 x211",
            "fax_number": "218-829-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Christine Brady, CRNA
• Matt Brakefeild, HIS
• Linda C Brakke, CNNP
• Heather Brandon, HEATHER BRANDON, OT
• Mara Ann Brandsoy, OTR
• April Lou Brandt, LICSW
• Emily Brandt
• Mary Ellen Brandt, LPN
• Stephanie Fay Brandt, D.P.T.
• Suzanne Theresa Brannan, B.S., L.A.D.C.

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.