Brenda Renee Cordova, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117958 Issued in CA

Practice address

3150 18TH St.
Mailbox #202
San Francisco, CA 94110

Phone

(415) 562-6056

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brenda.cordova.1@23572.direct.athenahealth.com

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.

• Unihealth, Licensed Clinical Social Worker, Professional Corporation

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1437526209

  Clinical

  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1184265829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 18TH ST.",
            "address_2": "MAILBOX #202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-562-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST.",
            "address_2": "MAILBOX #202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-562-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 E Main St Ste 919",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022905",
            "country_code": "US",
            "telephone_number": "415-562-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "BRENDA",
        "middle_name": "RENEE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bren@myunihealth.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "3150 18TH ST.",
            "address_2": "Mailbox #202",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keyla Amaryllis Cordero Noel
• Jackie Cordero
• Reynaldo Cordero, MD
• Vianca G Cordero
• Stephanie Ann Cordonnier, MD
• Dario Cordova
• Paula Victoria Cordova, MFT INTERN
• Core Connection Pelvic & Orthopedic Physical Therapy
• Sandra L Coreas, SUD
• Robin L Corelli, PHARMD

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, 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 Feb 19, 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.