Individual provider Active NPI

Brandon Reginald Washington, MBA, MSW, LCSW

  • Clinical Social Worker
  • Lakewood, CA
National Provider Identifier
1356933196
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW100467 Issued in CA
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

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1609466788OtherCANPPES

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915000019 PA Practitioner - Clinical Social Worker 4486019320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
ASW76728CAMDSocial Worker
SW135209PAMDSocial Worker
LCSW100467CAMDClinical Social Worker
100467CAMDDentist
MPSS-JGDBCACAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Yoshida, Yamada & Washington Services, LLC Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 11, 2023 Accepting new patients
Yoshida, Yamada & Washington Services, LLC Social Worker CurrentSince Feb 7, 2021 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.

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

Verify at the official NPI Registry.