Active NPI
Brenda Pastrana, LCSW
- Clinical Social Worker
- Joint Base Lewis-McChord, WA
National Provider Identifier
1073706909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 52323
- Practice address
- 1450 Alder Rd
Box 339500
Joint Base Lewis-McChord, WA 98433-9500 - Phone
- (253) 966-8357
- Fax
- (253) 968-3349
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-12021 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW 52323 | TX | Primary |
Addresses
Primary practice location
1450 Alder Rd
Box 339500
Joint Base Lewis-McChord, WA 98433-9500
Mailing address
1450 Alder Rd
Box 339500
Apo, AP 98433-9500
Phone (253) 966-8357
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-12021 | AZ | MD | Clinical Social Worker |
| LCSW 52323 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1073706909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "1450 ALDER RD",
"address_2": "BOX 339500",
"city": "APO",
"state": "AP",
"postal_code": "984339500",
"telephone_number": "253-966-8357",
"fax_number": "253-968-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ALDER RD",
"address_2": "BOX 339500",
"city": "JOINT BASE LEWIS-MCCHORD",
"state": "WA",
"postal_code": "984339500",
"telephone_number": "253-966-8357",
"fax_number": "253-968-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTRANA",
"first_name": "BRENDA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-12021",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "LCSW 52323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis-McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.