Sandra Stern Brackenridge, LCSW
Individual provider Active NPI Clinical Social Worker · Corinth, TX
NPI 1235368705 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1235368705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 52300 (TX)
- Practice address
- 4206 Creek Falls Dr
Corinth, TX 76208-5186 - Phone
- (208) 705-0088
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090803000242 | TX | Practitioner - Clinical Social Worker | 8628121001 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurasource LTD | Clinical | Current |
Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
400 N Allen Dr
Ste 204
Allen, TX 75013
12700 Hillcrest Rd
Ste 274
Dallas, TX 75230
Phone 97223310104
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 52300 | TX | Yes |
Addresses
Primary practice location
4206 Creek Falls Dr
Corinth, TX 76208-5186
Mailing address
4206 Creek Falls Dr
Corinth, TX 76208-5186
Phone (208) 705-0088
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sandra@sbrackenridgelcsw.com | Direct |
Other providers in Corinth, TX
- Bees Loving Hands
- Behavioral Medicine Consulting, Inc.
- Better Homecare, Inc
- Precious Bieni
- Vanessa Joy Blasingame
- Brighter Future Counseling Services, LLC
- Julieanne S Butson
- Amanda Cagnetto
- Kelbi Jade Callaway
- Calling the Shots LLC
All providers in Corinth, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.