Brianna Dardis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

119619 Issued in CA

Practice address

819 3Rd St
Santa Rosa, CA 95404-4545

Phone

(707) 303-8431

NPI assigned

Mar 4, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1194582353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BERRYDALE DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544359",
            "telephone_number": "707-338-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044545",
            "telephone_number": "707-303-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Edwards Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954018801",
            "country_code": "US",
            "telephone_number": "707-303-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARDIS",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "119619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lambert N Daniel, MD
• Portia Daniels, RN, NP
• Jerry Dannenberg, R.PH.
• Frances Danoff, MFT
• Kirsten Dansey, M.D.
• Kathleen Dark, PH.D.
• Mark Voorhees Darlington
• Susan Lynn Dastic, CRNA
• Amber Rose Daughrity, LMFT
• Clay Breckinridge Daulton, L.AC.

• Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.