Active NPI
Brandon Reginald Washington, MBA, MSW, LCSW
- Clinical Social Worker
- Lakewood, CA
National Provider Identifier
1356933196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW100467
- Practice address
- 20745 Arline Ave
Lakewood, CA 90715-1427 - Phone
- (310) 626-7649
- NPI assigned
- Feb 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW135209 | PA | |
| Social Worker | 104100000X | ASW76728 | CA | |
| Clinical Social Worker | 1041C0700X | ASW76728 | CA | |
| School Social Worker | 1041S0200X | LCSW100467 | CA | |
| Peer Specialist | 175T00000X | MPSS-JGDBCA | CA | |
| Clinical Social Worker | 1041C0700X | LCSW100467 | CA | Primary |
Addresses
Primary practice location
20745 Arline Ave
Lakewood, CA 90715-1427
Mailing address
1138 E del Amo Blvd
PO Box 399
Lakewood, CA 90714
Phone (562) 388-4688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609466788 | Other | CA | NPPES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW76728 | CA | MD | Social Worker |
| SW135209 | PA | MD | Social Worker |
| LCSW100467 | CA | MD | Clinical Social Worker |
| 100467 | CA | MD | Dentist |
| MPSS-JGDBCA | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yoshida, Yamada & Washington Services, LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Yoshida, Yamada & Washington Services, LLC | Social Worker | Current | Accepting new patients |
| Women in Transition Re-Entry Project Inc | Social Worker | Current | Accepting new patients |
| Marvin Behavioral Health Ca PC | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1417238833
Social Worker
-
- Clinical Social Worker
- Lakewood, CA
- NPI 1609466788
-
- Clinical Social Worker
- Long Beach, CA
- NPI 1730864554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1356933196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 E DEL AMO BLVD",
"address_2": "PO BOX 399",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "90714",
"telephone_number": "562-388-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20745 ARLINE AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907151427",
"telephone_number": "310-626-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "BRANDON",
"middle_name": "REGINALD",
"name_prefix": "Mr.",
"credential": "MBA, MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW135209",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW76728",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW76728",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "LCSW100467",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-JGDBCA",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW100467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1609466788",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.