Charlotte Marie Brandvig, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58875 Issued in TX

Practice address

1127 Silent Holw
San Antonio, TX 78260-6230

Phone

(210) 849-3040

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Charlotte Marie Dean Former name

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1285412759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 SILENT HOLW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606230",
            "telephone_number": "210-849-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 SILENT HOLW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606230",
            "telephone_number": "210-849-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDVIG",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "DEAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kemi Brandon, LVN
• Roger Brandon, DDS
• Chandra J Brandt, LPC, NCC, MA, CAC-I
• Jennifer Brandt
• Katherine Marie Brandt, MD
• Brandy L. McCray, MD, Faap, PA
• Donald W. Brangan, LPC
• Carolina Branham, BCBA
• Harold M. Brannan, M.D.
• Laura Brannen, MD

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.