Brain Repair Therapy Services Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAIN REPAIR THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC

Practice address

23161 Mill Creek Dr Ste 315
Laguna Hills, CA 92653-7907

Phone

(949) 415-4204

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Douglas Pleiman, LCSWNPI 1922545326

Title

President

Phone

(949) 415-4204

Specialties & licenses 1

Addresses

Other names 1

• Brain Repair Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Pleiman

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1922545326
  NPD Authorized official
• Tracy Lynn Marshall, CADC III

  • Addiction (Substance Use Disorder) Counselor
  • Laguna Hills, CA
  • NPI 1982437893
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1093571200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926091446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 MILL CREEK DR STE 315",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537907",
            "telephone_number": "949-415-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN REPAIR THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "PLEIMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-415-4204",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Repair",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brain Repair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Bowers
• Alexandra Elizabeth Boyce
• Rodney Wayne Boyd
• Krysta Boyle, LMFT
• Alexandra Bozick
• Audrey Brammer
• Emily Brangwin
• Nicholas Damien Braun
• Cassandra Rose Braunstein, PA-S
• Rebecca Bray, OTR/L

• Clinical Social Worker in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.