Active NPI
Brandon Chiapuzio, LCSW
- Clinical Social Worker
- Berkeley, CA
National Provider Identifier
1073274015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119464
- Practice address
- 2615 Ashby Ave
Berkeley, CA 94705-2200 - Phone
- (510) 200-8867
- NPI assigned
- Jan 3, 2022
- Last updated
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119464 | CA | Primary |
Addresses
Primary practice location
2615 Ashby Ave
Berkeley, CA 94705-2200
Mailing address
2615 Ashby Ave
Berkeley, CA 94705-2200
Phone (805) 559-7881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10812 Cotter St
Oakland, CA 94605-5603
2615 Ashby Ave
Berkeley, CA 94705-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119464 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shortridge Academy | Current | Accepting new patients | |
| Family Spring Psychology, P.C. | Current | Accepting new patients |
Locations
2615 Ashby Ave
Ste 1
Berkeley, CA 94705
Phone (510) 470-5777
619 Governors Rd
Milton, NH 03851
Phone (603) 403-2800
Organizations & group practices 2
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 Psychologist
- Berkeley, CA
- NPI 1699327692
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Milton, NH
- NPI 1346792835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1073274015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052200",
"telephone_number": "805-559-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052200",
"telephone_number": "510-200-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIAPUZIO",
"first_name": "BRANDON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-03",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.