Malorie Jamelia Branch

Primary specialty

Social WorkerTaxonomy code 104100000X

License

121253 Issued in CA

Practice address

628 Montezuma St
Rio Vista, CA 94571-1622

Phone

(707) 374-5243

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1396595005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "415-305-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Marina Village Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011078",
            "country_code": "US",
            "telephone_number": "415-305-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "MALORIE",
        "middle_name": "JAMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121253",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "121253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlley Zhazmir Mykayla Alghamdi, LCSW
• Bayou Environmental Justice Coalition
• Paul Willem Bolle, IMF
• Cynthia Ann Bradford, LMFT
• Darrel James Brown, FNPC
• Michele Burns
• Yi Chhour, PPS
• Gwen Cotter, MFT
• Eric Carl Decatur, AMFT

• Social Worker in Rio Vista, CA
• Providers in Rio Vista, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.