Organization Active NPI

Renata Brownbridge Apc

  • Clinical Social Worker
  • Montara, CA
National Provider Identifier
1083782684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LF001563 Issued in CA
Legal business name
RENATA BROWNBRIDGE APC
Practice address
347 14TH Street
Montara, CA 94037
Phone
(650) 728-4550
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Renata Brownbridge, LCSW
Title
President
Phone
(510) 538-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LF001563 CA Primary

Addresses

Primary practice location

347 14TH Street
Montara, CA 94037

Mailing address

6086 Bellingham Dr
Castro Valley, CA 94552-1629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083782684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6086 BELLINGHAM DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 14TH STREET",
            "city": "MONTARA",
            "state": "CA",
            "postal_code": "94037",
            "telephone_number": "650-728-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA BROWNBRIDGE APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNBRIDGE",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-538-9130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LF001563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.