Braedon Gerard, LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 11692 Issued in FL

Practice address

305 S Hyde Park Ave
Tampa, FL 33606-2233

Phone

(813) 251-8437

Fax

(813) 259-1415

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Centre for Women, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1326104647
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1174945323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062233",
            "telephone_number": "813-251-8437",
            "fax_number": "813-259-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062233",
            "telephone_number": "813-251-8437",
            "fax_number": "813-259-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "BRAEDON",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald H Dominguez, MD PA
• Gerald L. Spoto, D.D.S., P.a.
• Gerald M Copeland II DMD
• Gerald M. Kluft D.D.S. P.a.
• Gerard C Mosiello MD PL
• Caroline Gerard, MS, LDN, RDN
• Kayley Gerard, OTR/L
• Gerardo F. Palacios, M.D. P. a.
• Chloe Mae Gerbec
• Alan Paul Gerber, MD

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.