Individual provider Active NPI

Sarah Elana Janoff-Brinn, LCSW

  • Clinical Social Worker
  • Corte Madera, CA
National Provider Identifier
1285276717
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
74074 Issued in CA
Practice address
21 Tamal Vista Blvd Ste 180
Corte Madera, CA 94925-1146
Phone
(415) 228-6917
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 74074 CA Primary

Addresses

Primary practice location

21 Tamal Vista Blvd Ste 180
Corte Madera, CA 94925-1146

Mailing address

100 Dominican Dr
San Rafael, CA 94901-1340
Phone (415) 302-3461

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.sarahjanoffbrinnlcsw.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1285276717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOMINICAN DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011340",
            "telephone_number": "415-302-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 180",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251146",
            "telephone_number": "415-228-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOFF-BRINN",
        "first_name": "SARAH",
        "middle_name": "ELANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sarahjanoffbrinnlcsw.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "address_1": "21 Tamal Vista Blvd Ste 180",
            "city": "Corte Madera",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949251146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.