NPIMap

Organization Active NPI

Jeremy L Brownstein, Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1124714811
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEREMY L BROWNSTEIN, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone
(559) 428-3176
Fax
(559) 475-8052
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Jeremy Brownstein, LCSWNPI 1497182489
Title
Owner
Phone
(559) 428-3176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713

Mailing address

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone (559) 428-3176

Other names 1

  • JEREMY LEE BROWNSTEIN Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1124714811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176",
            "fax_number": "559-475-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176",
            "fax_number": "559-475-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY L BROWNSTEIN, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-428-3176",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEREMY LEE BROWNSTEIN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.