Robert Brandenburg

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

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Lynn Brandenburg Sr., LCSWNPI 1316078090

Title

Therapist

Phone

(775) 359-1199

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Brandenburg, LCSW

  • Clinical Social Worker
  • Sparks, NV
  • NPI 1316078090
  Authorized official Same address or phone

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": []
}

• Rising Star
• Alexandra Paredes Rivera
• Alexaundra Rivera
• Jenna Riviera, BA
• Stephanie Robards
• Brandi Jean Roberts
• Luke Roberts
• Barbara M Robinson
• Janese Lenay Robinson
• Krystalyn Robinson

• Clinical Social Worker in Sparks, NV
• Providers in Sparks, NV by specialty
• Clinical Social Worker in Nevada

• 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.