Individual provider Active NPI

Brenda Marie Story, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1184751000
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64809 Issued in CA
Practice address
3300 Truxtun Ave Ste 100
Bakersfield, CA 93301-3123
Phone
(661) 868-6465
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 64809 CA
Clinical Social Worker 1041C0700X 64809 CA Primary

Addresses

Primary practice location

3300 Truxtun Ave Ste 100
Bakersfield, CA 93301-3123

Mailing address

PO Box 81252
Bakersfield, CA 93380-1252
Phone (661) 426-6772

Other practice location 1

5000 California Ave
Ste 207
Bakersfield, CA 93309-0711
Phone (661) 426-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64809CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1184751000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81252",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933801252",
            "telephone_number": "661-426-6772",
            "fax_number": "866-292-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TRUXTUN AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013123",
            "telephone_number": "661-868-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 CALIFORNIA AVE",
            "address_2": "STE 207",
            "address_purpose": "LOCATION",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090711",
            "country_code": "US",
            "telephone_number": "661-426-6772",
            "fax_number": "866-292-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORY",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "64809",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.