Individual provider Active NPI

Sandra Brazzell, LMSW

  • Social Worker
  • Memphis, TN
National Provider Identifier
1083368781
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1200 Peabody Ave
Memphis, TN 38104-4506
Phone
(901) 567-3554
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1200 Peabody Ave
Memphis, TN 38104-4506

Mailing address

2220 Union Ave
Memphis, TN 38104-4315
Phone (901) 567-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727000446 TN Practitioner - Clinical Social Worker 4981065745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians

Practice addresses (Care Compare)

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8220TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Jun 30, 2023 Accepting new patients
Alliance Healthcare Services CurrentSince Jun 30, 2023 Accepting new patients

Locations

1200 Peabody Ave
Memphis, TN 38104
Phone (901) 272-0003

2100 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1083368781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044315",
            "telephone_number": "901-567-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044506",
            "telephone_number": "901-567-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZZELL",
        "first_name": "SANDRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.