Active NPI
Brenda Sue Simpson Hamamoto, M.S.W, L.C.S.W.
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1194846956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS27603
- Practice address
- 600 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1152 - Phone
- (909) 501-9452
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS27603 | CA | Primary |
Addresses
Primary practice location
600 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1152
Mailing address
600 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1152
Phone (909) 501-9452
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS27603 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1194846956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011152",
"telephone_number": "909-501-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011152",
"telephone_number": "909-501-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON HAMAMOTO",
"first_name": "BRENDA",
"middle_name": "SUE",
"credential": "M.S.W, L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS27603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.