Organization Active NPI

Robert Brandenburg

  • Clinical Social Worker
  • Sparks, NV
National Provider Identifier
1083912901
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2092-C Issued in NV
Legal business name
ROBERT BRANDENBURG
Practice address
2225 N McCarran Blvd
Sparks, NV 89431-3365
Phone
(775) 359-1199
Fax
(775) 359-1195
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mr. Robert Lynn Brandenburg Sr., LCSW
Title
Therapist
Phone
(775) 359-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2092-C NV Primary

Addresses

Primary practice location

2225 N McCarran Blvd
Sparks, NV 89431-3365

Mailing address

2225 N McCarran Blvd
Sparks, NV 89431-3365
Phone (775) 359-1199

National Provider Directory

National Provider Directory

Locations

2225 N McCarran Blvd
Sparks, NV 89431
Phone (775) 240-7101

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1083912901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313365",
            "telephone_number": "775-359-1199",
            "fax_number": "775-359-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313365",
            "telephone_number": "775-359-1199",
            "fax_number": "775-359-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BRANDENBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "775-359-1199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2092-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.